National Provider Identifier Database

STUART TRUST, DO – NPI #1104973833
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

STUART TRUST, DO
63 SOUTH FIRST ST
FULTON, NY13069
Phone: 315-598-6785
Fax: 315-592-3571
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for STUART TRUST

NPI Number 1104973833
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/04/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 1117151
  • NY Medicaid: 00510678
  • NY Medicaid: 100039145101
  • Other: 00020880201 ADVANTAGE HEALTH PLAN
  • Other: 894426 AETNA HMO
  • Other: 4570301 AETNA PPO
  • Other: 100039145101 CHILD HEALTH PLUS
  • Other: 154507 CIGNA
  • Other: 040426016443 FIDELIS CARE
  • Other: 000916582001 HEALTHNOW
  • Other: 265841 MVP
  • Other: 395 TOTAL CARE
  • Other: 00020880201 UNIVERA
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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