| Coram Podiatry Pllc | |
|
100 Middle Country Rd, Coram, NY 11727-4412 | |
| (631) 696-9636 | |
| Not Available |
| Full Name | Coram Podiatry Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 100 Middle Country Rd, Coram, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902520810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Daniel E Stern |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639170889 PECOS PAC ID: 3779520440 Enrollment ID: I20050413001319 |
| Provider Name | Maryann D'amara |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790852671 PECOS PAC ID: 9032126685 Enrollment ID: I20060307000704 |
| Provider Name | Bill Dalosis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497771604 PECOS PAC ID: 9436152279 Enrollment ID: I20060816000161 |
| Provider Name | Pedram A Hendizadeh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780786517 PECOS PAC ID: 9931104551 Enrollment ID: I20071227000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Coram Podiatry Pllc 100 Middle Country Rd, Coram, NY 11727-4412 Ph: (631) 696-9636 | Coram Podiatry Pllc 100 Middle Country Rd, Coram, NY 11727-4412 Ph: (631) 696-9636 |
Dr. John Peter Burghardt Jr., DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1013 Old Town Rd, Coram, NY 11727 Phone: 631-732-2590 Fax: 631-732-2590 | |
Gretchen Pacheco-stabile, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 82 Middle Country Rd, Elsie Owen Health Center - Hrhcare, Inc., Coram, NY 11727 Phone: 631-320-2220 Fax: 631-698-3570 | |
Christine Stern, Dpm Podiatrist Medicare: Medicare Enrolled Practice Location: 100 Middle Country Rd, Coram, NY 11727 Phone: 631-696-9636 Fax: 631-696-9635 | |
Dr. Daniel E Stern, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 100 Middle Country Rd, Coram, NY 11727 Phone: 631-696-9636 Fax: 631-696-9635 | |
Dr. Christine B Stern, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 100 Middle Country Rd, Coram, NY 11727 Phone: 631-696-9636 Fax: 631-696-9635 |