Healthcare Provider Details
I. General information
NPI: 1215378260
Provider Name (Legal Business Name): EMILY ANN STOY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/07/2013
Last Update Date: 05/02/2024
Certification Date: 05/02/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3928 WASHINGTON RD STE 220
MC MURRAY PA
15317-2594
US
IV. Provider business mailing address
701 TECHNOLOGY DR STE 150
CANONSBURG PA
15317-9531
US
V. Phone/Fax
- Phone: 724-941-8877
- Fax: 724-941-4745
- Phone: 412-531-2902
- Fax: 412-531-2948
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: