Provider Demographics
NPI:1396832325
Name:STOHR, JAMES F (RPA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:F
Last Name:STOHR
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4418 E. RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:NY
Mailing Address - Zip Code:14589
Mailing Address - Country:US
Mailing Address - Phone:315-589-4641
Mailing Address - Fax:315-589-9585
Practice Address - Street 1:4418 E. RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:NY
Practice Address - Zip Code:14589
Practice Address - Country:US
Practice Address - Phone:315-589-4641
Practice Address - Fax:315-589-9585
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002254-1363A00000X
NY2254363AM0700X
NY002254363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical