Provider Demographics
NPI:1447054879
Name:STOLL, ANNE RENEE
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:RENEE
Last Name:STOLL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 PALEN RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JCT
Mailing Address - State:NY
Mailing Address - Zip Code:12533-5851
Mailing Address - Country:US
Mailing Address - Phone:845-546-7140
Mailing Address - Fax:
Practice Address - Street 1:143 PALEN RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL JCT
Practice Address - State:NY
Practice Address - Zip Code:12533-5851
Practice Address - Country:US
Practice Address - Phone:845-546-7140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program