MEDICARE: DR. STEPHEN DAVID APFELROTH M.D., PH.D.

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	207ZB0001X	Blood Banking & Transfusion Medicine Physician	189564	NY
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	189564	NY
3	208D00000X	General Practice Physician	189564	NY

General Provider Information

NPI Number	:	1568453785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN DAVID APFELROTH M.D., PH.D.

Provider Business Mailing Address
First Line	:	5 STARLIGHT DR
Second Line	:
City	:	NORWALK
State	:	CT
Zip	:	06851-3424
Country	:	US
Telephone Number	:	203-229-0205
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 PELHAM PKWY S
Second Line	:	JACOBI MEDICAL CENTER 1E12
City	:	BRONX
State	:	NY
Zip	:	10461-1138
Country	:	US
Telephone Number	:	718-918-5233
Fax Number	:	718-918-7785

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

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	11/30/2009

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