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NPI Code Detail

MEDICARE: STEPHANIE HADDAD DPM

MEDICARE: STEPHANIE HADDAD 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
1213E00000XPodiatrist25MD00358800NJ
2213E00000XPodiatristN007064NY

General Provider Information

NPI Number : 1659863157
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE HADDAD DPM
Provider Business Mailing Address
First Line : 421 HUDSON ST APT 305
Second Line :
City : NEW YORK
State : NY
Zip : 10014-3648
Country : US
Telephone Number : 716-912-5877
Fax Number :
Provider Business Practice Location Address
First Line : 267 BROADWAY FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11211-6216
Country : US
Telephone Number : 716-912-5877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2018
Last Update Date : 10/20/2021

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Directions to “ STEPHANIE HADDAD DPM” Practice Location

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