Provider Demographics
NPI:1386369007
Name:STOLL, SANDRA EMILY (MD)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:EMILY
Last Name:STOLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 E 210TH STREET
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIA
Mailing Address - City:BRONX NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:718-920-6423
Mailing Address - Fax:718-920-4327
Practice Address - Street 1:111 E 210TH STREET
Practice Address - Street 2:111 E 210TH STREET
Practice Address - City:BRONX NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-6423
Practice Address - Fax:718-920-4327
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2023-12-13
Deactivation Date:2023-08-10
Deactivation Code:
Reactivation Date:2023-12-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program