Provider Demographics
NPI:1316129422
Name:STOLINSKI, GREGG GERARD (RPH)
Entity type:Individual
Prefix:MR
First Name:GREGG
Middle Name:GERARD
Last Name:STOLINSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4801
Mailing Address - Country:US
Mailing Address - Phone:212-727-3854
Mailing Address - Fax:212-727-3065
Practice Address - Street 1:282 8TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4801
Practice Address - Country:US
Practice Address - Phone:212-727-3854
Practice Address - Fax:212-727-3065
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041097-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist