Stern, Alan Richard
Stern, Alan Richard is an sole proprietor health care provider with primary practice located at 76 Southaven Ave , Medford NY 11763-3745. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stern, Alan Richard can be contacted via phone (631) 289-1107.Contact Information
Primary practice address
76 Southaven Ave
Medford NY 11763-3745
Phone: (631) 289-1107
Fax: (631) 289-1107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N03290 | New York |
Profile Details
| NPI number | 1861486284 |
|---|---|
| LBN Legal business name | Stern, Alan Richard |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Aug 2nd, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861486284 | NPPES |
| New York | MEDICAID | 00709435 |
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