Provider Demographics
NPI:1437274412
Name:STOKES, CAROLYN (PA)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5752
Mailing Address - Country:US
Mailing Address - Phone:212-749-1820
Mailing Address - Fax:212-531-7514
Practice Address - Street 1:1O SUNNYBROOK ROAD
Practice Address - Street 2:WOMEN'S HEALTH CLINIC
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27620-4049
Practice Address - Country:US
Practice Address - Phone:919-250-1265
Practice Address - Fax:919-212-0475
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101737363A00000X, 363AM0700X
NY002313363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7963348Medicaid