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Contact Information

DANIEL E STERN, DPM
100 MIDDLE COUNTRY RD
CORAM, NY11727-4412
 Phone: 631-696-9636
 Fax: 631-696-9635
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DANIEL E STERN · (Male)

NPI Number 1639170889
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/09/2005
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # N004302
  • NY Medicaid 01072059
  • NE Other 2496 VYTRA
  • NY Other AETNA 4207335
  • NY Other DSOP240S10 BLUE CROSS BLUE SHIELD
  • NY Other 1400082 GHI
  • NY Other 198451P HIP
  • NY Other AJ45251 MDNY
  • NY Other CS593 OXFORD
  • NY Other PO4302-9 WORKER'S COMPENSATION
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
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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