MEDICARE: MR. STEVEN YALE NORMAN DPM

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	N003593	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480018597	OTHER	NY	RR MCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0894260001	OTHER	NY	DMERC

General Provider Information

NPI Number	:	1215936521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN YALE NORMAN DPM

Provider Business Mailing Address
First Line	:	76-51 263RD STREET
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11004
Country	:	US
Telephone Number	:	718-343-9235
Fax Number	:	718-343-9265

Provider Business Practice Location Address
First Line	:	76-51 263RD STREET
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11004
Country	:	US
Telephone Number	:	718-343-9235
Fax Number	:	718-343-9265

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	03/29/2012

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