Healthcare Provider Details

I. General information

NPI: 1205450442
Provider Name (Legal Business Name): KATARZYNA MONIKA STOJ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KASIA STOJ

II. Dates (important events)

Enumeration Date: 06/03/2020
Last Update Date: 09/25/2023
Certification Date: 09/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SEAVIEW AVENUE
STATEN ISLAND NY
10305
US

IV. Provider business mailing address

1523-2 POLONIA PARK PLACE
WINDSOR ON
N8Y 4V4
CA

V. Phone/Fax

Practice location:
  • Phone: 718-226-8855
  • Fax: 718-226-1347
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number325844
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: