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Individual

HOWARD L STOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
845 MAIN RD, IRVING, NY 14081-9706
(716) 934-9001
(716) 934-9005
Mailing address
PO BOX 64715, BALTIMORE, MD 21264-4715
(317) 805-2311
(317) 705-5060

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
203216-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00025860708
UNIVERA
NY
01
000524423013
BCBS WESTERN NY
NY
01
0156887
GHI
NY
05
01800926
NY
01
070621000063
FIDELIS
NY
01
1609208
INDEPENDENT HEALTH
NY
Enumeration date
02/06/2006
Last updated
10/04/2007
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