Most Relevant Information
Provider Data
| NPI Number: | 1003453077 |
| Provider Name: | HOLLY AMANDA STUMPF PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/09/2019 |
| Last Updated: | 12/09/2019 |
Provider Practice Location
23 HERBERT AVE
WHITE PLAINS
NY
10606
Practice Location Phone/Fax
| Phone: | 9148439130 |
| Fax: |
Provider Mailing Location
23 HERBERT AVE
WHITE PLAINS
NY
10606
Provider Mailing Phone/Fax
| Phone: | 9148439130 |
| Fax: |