MEDICARE: DR. STUART KITTON 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
1	213E00000X	Podiatrist	N002750	NY
2	213E00000X	Podiatrist	25MD001092	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1598760100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART KITTON DPM

Provider Business Mailing Address
First Line	:	41 WOODS DR
Second Line	:
City	:	ROSLYN
State	:	NY
Zip	:	11576-2613
Country	:	US
Telephone Number	:	516-626-3999
Fax Number	:	212-368-1513

Provider Business Practice Location Address
First Line	:	601B W 138 ST
Second Line	:	GROUND FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10031-7400
Country	:	US
Telephone Number	:	212-844-9490
Fax Number	:	212-368-1513

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/27/2012

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Directions to “ DR. STUART KITTON DPM” Practice Location

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