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NPI Code Detail

MEDICARE: IRA STIER D.D.S., FISHKILL P.C.

MEDICARE: IRA STIER D.D.S., FISHKILL P.C.
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1851606172
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRA STIER D.D.S., FISHKILL P.C.
Provider Business Mailing Address
First Line : 876 DUTCHESS TPKE
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12603-1540
Country : US
Telephone Number : 845-454-7023
Fax Number :
Provider Business Practice Location Address
First Line : 876 DUTCHESS TPKE
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12603-1540
Country : US
Telephone Number : 845-896-4977
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : IRA STIER
Credential : DDS
Telephone Number : 845-454-7023
Provider Enumeration Date : 08/11/2010
Last Update Date : 08/11/2010

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