Provider Demographics
NPI:1104116375
Name:STOLYARSKY, YURA (MD)
Entity type:Individual
Prefix:DR
First Name:YURA
Middle Name:
Last Name:STOLYARSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YURA
Other - Middle Name:
Other - Last Name:STOLY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 230384
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-0384
Mailing Address - Country:US
Mailing Address - Phone:718-704-9909
Mailing Address - Fax:
Practice Address - Street 1:3049 OCEAN PKWY FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8395
Practice Address - Country:US
Practice Address - Phone:718-704-9909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-08
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY275763208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation