Provider Demographics
NPI:1164442950
Name:STOHRER, HANS (MD)
Entity Type:Individual
Prefix:
First Name:HANS
Middle Name:
Last Name:STOHRER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 E 90TH ST
Mailing Address - Street 2:APT. 2L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7859
Mailing Address - Country:US
Mailing Address - Phone:212-828-4011
Mailing Address - Fax:
Practice Address - Street 1:120 W 106TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-3923
Practice Address - Country:US
Practice Address - Phone:212-870-4867
Practice Address - Fax:212-870-4905
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219640207RG0300X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02577291Medicaid
NYI20028Medicare UPIN
NY244AP1Medicare ID - Type Unspecified