Organization
STEVEN B. AXT, DPM, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN B. AXT DPM (DOCTOR)
(631) 475-3030
Entity
Organization
Contact information
Practice address
4 PHYLLIS DR, SUITE A, PATCHOGUE, NY 11772-2900
(631) 475-3030
(631) 475-3036
Mailing address
4 PHYLLIS DR, SUITE A, PATCHOGUE, NY 11772-2900
(631) 475-3030
(631) 475-3036
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
003178-1
NY
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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