| Dr Stephen Robert Densen, DPM | |
|
155 Mineola Blvd, Suite B, Mineola, NY 11501-3920 | |
| (516) 741-3338 | |
| (516) 741-4601 |
| Full Name | Dr Stephen Robert Densen |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 155 Mineola Blvd, Mineola, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598874208 | NPI | - | NPPES |
| 4414702 | Other | TX | AETNA |
| OQT12A | Other | TX | BLUE CROSS/ BLUE SHEILD |
| 121560003 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1057 (Texas) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 004381 (New York) | Secondary |
| Provider Name | True North Medical Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659883486 PECOS PAC ID: 7012194806 Enrollment ID: O20171229000536 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Robert Densen, DPM 27 Crosby Pl, Cold Spring Harbor, NY 11724-2404 Ph: (631) 334-6507 | Dr Stephen Robert Densen, DPM 155 Mineola Blvd, Suite B, Mineola, NY 11501-3920 Ph: (516) 741-3338 |
Christopher Chung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 155 Mineola Blvd, Mineola, NY 11501 Phone: 516-741-3338 | |
Country Foot Care Podiatry Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 173 Mineola Blvd, Suite 201, Mineola, NY 11501 Phone: 516-741-3338 Fax: 516-506-7123 | |
Country Foot Care, Huntington, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 155 Mineola Blvd, Suite B, Mineola, NY 11501 Phone: 516-741-3338 Fax: 516-741-4601 | |
Gabrielle Lee-kim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 155 Mineola Blvd Ste B, Mineola, NY 11501 Phone: 516-741-3338 Fax: 516-741-4601 | |
Josephine Kleyner Dpm, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 155 Mineola Blvd, Suite B, Mineola, NY 11501 Phone: 516-741-3338 Fax: 516-741-4601 | |
Mineola Foot Care, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 155 Mineola Blvd, Suite B, Mineola, NY 11501 Phone: 516-741-3338 | |
Heather Leeb, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 155 Mineola Blvd, Mineola, NY 11501 Phone: 516-741-3338 |