Healthcare Provider Details

I. General information

NPI: 1437336476
Provider Name (Legal Business Name): STELLA YUROVSKY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2008
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1916 WELSH RD
PHILADELPHIA PA
19115
US

IV. Provider business mailing address

1916 WELSH RD
PHILADELPHIA PA
19115-4655
US

V. Phone/Fax

Practice location:
  • Phone: 215-934-6440
  • Fax:
Mailing address:
  • Phone: 215-934-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number5661050001
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MS. STELLA YUROVSKY
Title or Position: OWNER
Credential:
Phone: 215-934-6440