MEDICARE: DR. STEVEN BRUCE EPSTEIN D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	NOO3464-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	111437P	OTHER	NY	HIP

General Provider Information

NPI Number	:	1134126188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN BRUCE EPSTEIN D.P.M.

Provider Business Mailing Address
First Line	:	1175 W BROADWAY
Second Line	:	SUITE 10
City	:	HEWLETT
State	:	NY
Zip	:	11557
Country	:	US
Telephone Number	:	516-374-4444
Fax Number	:	516-374-4445

Provider Business Practice Location Address
First Line	:	1175 W BROADWAY
Second Line	:	SUITE 10
City	:	HEWLETT
State	:	NY
Zip	:	11557
Country	:	US
Telephone Number	:	516-374-4444
Fax Number	:	516-374-4445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	02/05/2015

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