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Dr. Wanida Stoutenburg, DPM
Podiatrist in Tillson, New York
NPI 1447316021

Wanida Stoutenburg is a Podiatrist based in Tillson, NY. Wanida Stoutenburg practices in Tillson, NY and has the professional credentials of DPM. The NPI Number for Wanida Stoutenburg is 1447316021 and holds a License No. N005408 (New York).

The current practice location address for Wanida Stoutenburg is 65 Bloomingdale Rd, Tillson, NY and can be reached out via phone at 845-658-8415.

Location: 65 Bloomingdale Rd, Tillson, NY, 12486-1307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447316021
Provider Name
Wanida Stoutenburg
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
65 Bloomingdale Rd, Tillson, NY, 12486-1307
Phone Number
845-658-8415
Fax Number
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01779322 05 NY
institution
Provider Business Practice Location Address Details
Address
65 Bloomingdale Rd
City
Tillson
State
New York
Zip
12486-1307
Phone Number
845-658-8415
Fax Number
person
Provider Business Mailing Address Details
Address
65 Bloomingdale Rd
City
Tillson
State
New York
Zip
12486-1307
Phone Number
845-658-8415
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
N005408 (New York)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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