Organization
ADVANTAGE PHYSICAL & OCCUPATIONAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN HOPE STOLLER PT (OWNER)
(646) 960-2006
Entity
Organization
Contact information
Practice address
534 W 112TH ST # 872, NEW YORK, NY 10025-9721
(917) 716-5392
(212) 820-9773
Mailing address
534 W 112TH ST # 872, NEW YORK, NY 10025-9721
(917) 716-5392
(212) 820-9773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1125744
EMBLEM
—
01
—
N81820
HEALTH NET ID
NY
01
—
P2967582
OXFORD HEALTH PLANS ID
NY
Enumeration date
01/28/2007
Last updated
04/29/2022
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