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NPI Code Detail

MEDICARE: EMMA STOLYAR DO LLC

MEDICARE: EMMA STOLYAR DO LLC
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 Physician

General Provider Information

NPI Number : 1760429005
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMMA STOLYAR DO LLC
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 : PRESIDENT
Name : DR. EMMA STOLYAR
Credential :
Telephone Number : 718-232-1120
Provider Enumeration Date : 06/02/2006
Last Update Date : 03/11/2013

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Directions to “EMMA STOLYAR DO LLC ” Practice Location

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