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General NPI Number Information
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NPI Number | 1598092835
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Entity Type | Individual
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Provider Name | KYLE EDWARD STOVER DPT
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Gender | Male
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Dates
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Enumeration Date | 11/06/2009
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Last Update Date | 11/06/2009
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Provider Practice Location Address
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Address Line | 2 OVERHILL RD
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City | SCARSDALE
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State | NY
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Zip | 10583-5323
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Country | US
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Telephone | 914-723-6987
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Fax | 914-723-7546
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Provider Business Mailing Address
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Address Line | 2 OVERHILL RD
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City | SCARSDALE
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State | NY
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Zip | 10583-5323
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Country | US
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Telephone | 914-723-6987
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Fax | 914-723-7546
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 030413
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License Number State | NY
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