Active NPIIndividual providerSole proprietor

Mr. Clivet G Stoll, LPN

Licensed Practical Nurse in Mt Vernon, New York

NPI Number1033324108
Practice location
11 Archer Ave, Mt Vernon, NY 10550-2201
Fax
914-664-1470
Last updated
July 8, 2007

Clivet Glenard Stoll is a Licensed Practical Nurse based in Mt Vernon, NY. Clivet Glenard Stoll practices in Mt Vernon, NY and has the professional credentials of LPN. The NPI Number for Clivet Glenard Stoll is 1033324108 and holds a License No. 229941 (NY). The current practice location address for Clivet Glenard Stoll is 11 Archer Ave, Mt Vernon, NY 10550-2201 and can be reached out via phone at 914-665-2146 and via fax at 914-664-1470.

Provider Profile Details

NPI Number
1033324108
Provider Name
Clivet Glenard Stoll
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
11 Archer Ave, Mt Vernon, NY 10550-2201
Phone Number
914-665-2146
Fax Number
914-664-1470
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Archer Ave
Mt Vernon, NY 10550-2201
Zip
10550-2201
Phone Number
914-665-2146
Fax Number
914-664-1470
Mt Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
11 Archer Ave
Mt Vernon, NY 10550-2201
City
Mt Vernon
State
NY
Zip
10550-2201
Phone Number
914-665-2146
Fax Number
914-664-1470

License Information

License Number
229941
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Clivet G Stoll, LPN?

The NPI number of Mr. Clivet G Stoll, LPN is 1033324108. It was assigned on May 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Clivet G Stoll, LPN?

Mr. Clivet G Stoll, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 229941.

Where does Mr. Clivet G Stoll, LPN practice?

The practice location is 11 Archer Ave, Mt Vernon, NY 10550-2201. The office can be reached at 914-665-2146 (phone) or 914-664-1470 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033324108 directly on the NPPES registry website.

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