Provider Demographics
NPI:1841003928
Name:YURA STOLY MD, P.C.
Entity type:Organization
Organization Name:YURA STOLY MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:YURA
Authorized Official - Middle Name:
Authorized Official - Last Name:STOLY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-704-9909
Mailing Address - Street 1:PO BOX 230384
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-0384
Mailing Address - Country:US
Mailing Address - Phone:718-704-9909
Mailing Address - Fax:347-702-5419
Practice Address - Street 1:3049 OCEAN PKWY FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-8395
Practice Address - Country:US
Practice Address - Phone:718-704-9909
Practice Address - Fax:347-702-5419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation