Individual provider · Type 1 NPI

Corey Alexander Stack, PA

Physician Assistant · Lockport, NY

NPI number 1487447538 Active

Practice location

5801 S Transit Rd
Lockport, NY 14094-5811

Call (716) 727-2018 Map

Mailing address

480 Aberdeen Rd
Lewiston, NY 14092-1023

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1487447538

Corey Alexander Stack, PA's National Provider Identifier is 1487447538, issued on May 22, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lockport, NY. The record was last updated on May 22, 2025.