Organization
FAITHFUL STEPS PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER HANSEN DPM (PRESIDENT)
(631) 665-5200
Entity
Organization
Contact information
Practice address
40 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 665-5200
(631) 665-4360
Mailing address
40 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 665-5200
(631) 665-4360
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005930
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2122948
VYTRA
—
01
—
6298837
GHI
—
01
—
N005930
HIP
—
01
—
P0018218
RXR MEDICARE
—
01
—
PJ7131
BC BS
—
01
—
PJ7132
EMPIRE BCBS
—
Enumeration date
03/05/2007
Last updated
03/13/2012
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