Healthcare Provider Details

I. General information

NPI: 1083767651
Provider Name (Legal Business Name): STELLA L PISKORSKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STELLA LEE TORT M.D.

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 10/29/2020
Certification Date: 10/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 CASTLE POINT RD
WAPPINGERS FALLS NY
12590-7004
US

IV. Provider business mailing address

41 CASTLE POINT RD
WAPPINGERS FALLS NY
12590-7004
US

V. Phone/Fax

Practice location:
  • Phone: 845-831-2000
  • Fax:
Mailing address:
  • Phone: 458-312-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number259303
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA10008800
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number259303
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number259303
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: