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General NPI Number Information
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NPI Number | 1164806758
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Entity Type | Organization
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Legal Business Name | DR GREG DAVIES & DR SHARONE STERN
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 175 JERICHO TPKE SUITE 300
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City | SYOSSET
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State | NY
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Zip | 11791-4532
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Country | US
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Telephone | 516-496-7676
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Fax | 516-496-0422
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Provider Business Mailing Address
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Address Line | 1144 OLD COUNTRY RD
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City | PLAINVIEW
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State | NY
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Zip | 11803-5047
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Country | US
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Telephone | 516-643-7688
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Fax | 516-942-0625
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Authorized Official
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Title or Position | PRES
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Name | DR. SHARONE STERN
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Credential | DPM
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Telephone | 516-496-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N005276
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License Number State | NY
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