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NPI Code Detail

MEDICARE: STEVEN WELSHER

MEDICARE: STEVEN WELSHER
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
1332B00000XDurable Medical Equipment & Medical Supplies4691030001NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14691030001OTHERNYMEDICARE DMERC

General Provider Information

NPI Number : 1114198439
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEVEN WELSHER
Provider Business Mailing Address
First Line : 100 W PARK AVE
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-3302
Country : US
Telephone Number : 516-897-0706
Fax Number :
Provider Business Practice Location Address
First Line : 100 W PARK AVE
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-3302
Country : US
Telephone Number : 516-897-0706
Fax Number :
Authorized Official
Title or Position : PODIATRIST
Name : DR. STEVEN GENE WELSHER
Credential : D.P.M.
Telephone Number : 516-897-0706
Provider Enumeration Date : 03/13/2008
Last Update Date : 03/13/2008

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