Healthcare Provider Details

I. General information

NPI: 1124943865
Provider Name (Legal Business Name): HUNTER L STOLL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 S LIBERTY DR
STONY POINT NY
10980-2359
US

IV. Provider business mailing address

135 N LIBERTY DR
STONY POINT NY
10980-1311
US

V. Phone/Fax

Practice location:
  • Phone: 845-499-9193
  • Fax:
Mailing address:
  • Phone: 845-499-9193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number536456
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: