Provider Demographics
NPI:1154311439
Name:WELSHER, STEVEN GENE (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:GENE
Last Name:WELSHER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W PARK AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3302
Mailing Address - Country:US
Mailing Address - Phone:516-897-0706
Mailing Address - Fax:516-897-0706
Practice Address - Street 1:100 W PARK AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3302
Practice Address - Country:US
Practice Address - Phone:516-897-0706
Practice Address - Fax:516-897-0706
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003302213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00686764Medicaid
NY4691030001Medicare NSC
NY00686764Medicaid
NYT51047Medicare UPIN
NYP35261Medicare PIN
NY02936BMedicare PIN