MEDICARE: DR. BERDJ H STEPANIAN 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	213ES0131X	Foot Surgery Podiatrist	N004915	NY

General Provider Information

NPI Number	:	1851398374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERDJ H STEPANIAN DPM

Provider Business Mailing Address
First Line	:	811 N BROADWAY STE 205
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2407
Country	:	US
Telephone Number	:	914-315-1594
Fax Number	:	718-863-0246

Provider Business Practice Location Address
First Line	:	811 N BROADWAY
Second Line	:	205
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2400
Country	:	US
Telephone Number	:	914-315-1594
Fax Number	:

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	01/26/2026

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