Individual
ALYSSA ANN STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 WASHINGTON AVE, WEST ISLIP, NY 11795-1623
(631) 830-7233
Mailing address
1229 WASHINGTON AVE, WEST ISLIP, NY 11795-1623
(631) 830-7233
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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