Provider Demographics
NPI:1134126188
Name:EPSTEIN, STEVEN BRUCE (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRUCE
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1175 W BROADWAY
Mailing Address - Street 2:SUITE 10
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557
Mailing Address - Country:US
Mailing Address - Phone:516-374-4444
Mailing Address - Fax:516-374-4445
Practice Address - Street 1:1175 W BROADWAY
Practice Address - Street 2:SUITE 10
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557
Practice Address - Country:US
Practice Address - Phone:516-374-4444
Practice Address - Fax:516-374-4445
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-06
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYNOO3464-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00946465Medicaid
NY111437POtherHIP
NY00946465Medicaid
NYP40311Medicare PIN
NY78676Medicare PIN
NY113014476OtherEIN