Individual
STEPHAN MAXWELL DONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
270 FARRAGUT AVE, HASTINGS ON HUDSON, NY 10706-3518
(914) 674-0479
Mailing address
270 FARRAGUT AVE, HASTINGS ON HUDSON, NY 10706-3518
(914) 674-0479
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P2179
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01650435
—
NY
01
—
133069342
TAX ID
—
01
—
432921
AETNA
—
01
—
P00221353
RAILROAD MEDICARE
—
01
—
P22262
EMPIRE BCBS
NY
Enumeration date
01/05/2007
Last updated
05/22/2008
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