Individual
MRS. ELEONORA STOTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
355 BARD AVE, STATEN ISLAND, NY 10310-1664
(718) 818-4121
Mailing address
577 AVENUE Z APT 5J, BROOKLYN, NY 11223-6179
(718) 769-9030
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
258281
NY
Other
Enumeration date
10/24/2010
Last updated
10/24/2010
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