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NPI Code Detail

MEDICARE: DR. EMMA BORIS STOLYAR D.O.

MEDICARE: DR. EMMA BORIS STOLYAR D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician213445NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457399008
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMMA BORIS STOLYAR D.O.
Provider Business Mailing Address
First Line : 8405 BAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3359
Country : US
Telephone Number : 718-232-1120
Fax Number : 718-232-1136
Provider Business Practice Location Address
First Line : 8405 BAY PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3359
Country : US
Telephone Number : 718-232-1120
Fax Number : 718-232-1136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 10/12/2007

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