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NPI Code Detail

MEDICARE: DR. STEVE CADDLE MD

MEDICARE: DR. STEVE CADDLE MD
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
1208000000XPediatrics Physician218447NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629042478
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVE CADDLE MD
Provider Business Mailing Address
First Line : 575 W 181ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10033-5002
Country : US
Telephone Number : 212-342-3060
Fax Number : 212-342-6010
Provider Business Practice Location Address
First Line : 575 W 181ST ST
Second Line : COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
City : NEW YORK
State : NY
Zip : 10033-5002
Country : US
Telephone Number : 212-342-3060
Fax Number : 212-342-6010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2006
Last Update Date : 02/19/2013

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Directions to “ DR. STEVE CADDLE MD” Practice Location

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