Dr. Wanida Stoutenburg is a Tillson, New York based female podiatrist who is specialized in Podiatry. Active license number of Dr. Wanida Stoutenburg for Podiatry is N005408 in New York. Dr. Wanida Stoutenburg is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Wanida Stoutenburg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Female
Practice Address:
65 Bloomingdale Rd, Tillson, New York, 12486-1307
Phone:
845-658-8415
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1447316021
NPI Enumeration Date:
28 Dec, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Wanida Stoutenburg are as mentioned below.
License Number
Specialization
State
Status
N005408
Podiatry
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Wanida Stoutenburg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01779322
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
65 Bloomingdale Rd, Tillson, New York
Zip:
12486-1307
Phone Number:
845-658-8415
Fax Number:
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Patients can reach Dr. Wanida Stoutenburg at 65 Bloomingdale Rd, Tillson, New York or can call to book an appointment on 845-658-8415. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.