King, Stella O

King, Stella O is an individual health care provider with primary practice located at 2613 West Henrietta Rd , Rochester NY 14623-2327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. King, Stella O can be contacted via phone (585) 279-4999.

Contact Information

Primary practice address
2613 West Henrietta Rd Rochester NY 14623-2327
Phone: (585) 279-4999
Fax: (585) 473-5152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 257810 New York

Profile Details

NPI number 1528032646
LBN Legal business name King, Stella O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528032646 NPPES
New York MEDICAID 03328021

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