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Contact Information

STUART TRUST, DO
63 SOUTH FIRST ST
FULTON, NY13069
 Phone: 315-598-6785
 Fax: 315-592-3571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for STUART TRUST · (Male)

NPI # 1104973833
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/04/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 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(s) Not Available
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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