Provider Demographics
NPI:1255444105
Name:PINHAS, STELLA (MD)
Entity type:Individual
Prefix:
First Name:STELLA
Middle Name:
Last Name:PINHAS
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 1:10830 66TH AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2242
Mailing Address - Country:US
Mailing Address - Phone:718-997-7117
Mailing Address - Fax:718-997-8118
Practice Address - Street 1:9412 59TH AVE UNIT E5
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5151
Practice Address - Country:US
Practice Address - Phone:718-997-7117
Practice Address - Fax:718-997-8118
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215063207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02085798Medicaid
NYDD4991OtherRAILROAD MEDICARE
NY02085798Medicaid
NYDD4991OtherRAILROAD MEDICARE