Individual
DR. YACOV RONALD STOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7124 18TH AVE, BROOKLYN, NY 11204-5203
(718) 234-3333
(718) 234-1104
Mailing address
8714 5TH AVE, BROOKLYN, NY 11209-5204
(718) 748-2900
(718) 748-9365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
143435
NY
207RG0100X
Gastroenterology Physician
Primary
143435
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00929300
—
NY
Enumeration date
01/18/2006
Last updated
07/27/2010
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