Provider Demographics
NPI:1407993462
Name:ORSHER, STUART ISSAC (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:ISSAC
Last Name:ORSHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0183
Mailing Address - Country:US
Mailing Address - Phone:212-535-7763
Mailing Address - Fax:212-734-1690
Practice Address - Street 1:9 E 79TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0183
Practice Address - Country:US
Practice Address - Phone:212-535-7763
Practice Address - Fax:212-734-1690
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127681207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY127681OtherLICENSE
NYB13335Medicare UPIN
339861Medicare PIN