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NPI Code Detail

MEDICARE: DR. ALAN RICHARD STERN DPM

MEDICARE: DR. ALAN RICHARD STERN 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
1213E00000XPodiatristN03290NY

Other Identifiers

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

General Provider Information

NPI Number : 1861486284
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN RICHARD STERN DPM
Provider Business Mailing Address
First Line : 76 SOUTHAVEN AVE
Second Line :
City : MEDFORD
State : NY
Zip : 11763-3745
Country : US
Telephone Number : 631-289-1107
Fax Number : 631-289-1107
Provider Business Practice Location Address
First Line : 76 SOUTHAVEN AVE
Second Line :
City : MEDFORD
State : NY
Zip : 11763-3745
Country : US
Telephone Number : 631-289-1107
Fax Number : 631-289-1107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 08/02/2010

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Directions to “ DR. ALAN RICHARD STERN DPM” Practice Location

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