Organization
STEPHEN KISBERG DPM
Active
Organization
STEPHEN KISBERG DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLENE WALTERS (OFFICE ADMINISTRATOR)
(516) 295-2121
Entity
Organization
Contact information
Practice address
11 FRANKLIN PL, WOODMERE, NY 11598-1216
(516) 295-2121
(516) 295-4727
Mailing address
11 FRANKLIN PL, WOODMERE, NY 11598-1216
(516) 295-2121
(516) 295-4727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N002365-1
NY
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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