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NPI Code Detail

MEDICARE: ANNA STOUPINE DPM

MEDICARE: ANNA STOUPINE 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
1390200000XStudent in an Organized Health Care Education/Training Program
2213EP1101XPrimary Podiatric Medicine Podiatrist007264NY

General Provider Information

NPI Number : 1477116689
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA STOUPINE DPM
Provider Business Mailing Address
First Line : 2614 HALPERIN AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-2631
Country : US
Telephone Number : 718-583-7736
Fax Number :
Provider Business Practice Location Address
First Line : 2614 HALPERIN AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-2631
Country : US
Telephone Number : 646-350-1601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2019
Last Update Date : 02/06/2024

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Directions to “ ANNA STOUPINE DPM” Practice Location

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