Stamm, David Bradley

Stamm, David Bradley is an individual health care provider with primary practice located at 201 South Ave Suite 205, Poughkeepsie NY 12601. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stamm, David Bradley can be contacted via phone (845) 452-0696.

Contact Information

Primary practice address
201 South Ave Suite 205 Poughkeepsie NY 12601
Phone: (845) 452-0696
Fax: (845) 452-1839
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003132 New York

Profile Details

NPI number 1124011911
LBN Legal business name Stamm, David Bradley
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Dec 4th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124011911 NPPES
New York Other 4800299003 MEDICARE RAILROAD
New York MEDICAID 00547026 MEDICARE RAILROAD

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