Provider Demographics
NPI:1376699702
Name:STUART REMER, MD
Entity Type:Organization
Organization Name:STUART REMER, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DONO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-874-8128
Mailing Address - Street 1:300 JERICHO QUADRANGLE
Mailing Address - Street 2:SUITE 320
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2704
Mailing Address - Country:US
Mailing Address - Phone:516-874-8128
Mailing Address - Fax:516-320-8943
Practice Address - Street 1:2016 BRONXDALE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3388
Practice Address - Country:US
Practice Address - Phone:718-863-8695
Practice Address - Fax:718-863-5147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177458207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01443585Medicaid
NY01443585Medicaid
NYF56409Medicare UPIN