Provider Demographics
NPI:1902899768
Name:EPSTEIN, STEVEN D (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 CORNWALL RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-7089
Mailing Address - Country:US
Mailing Address - Phone:717-274-5491
Mailing Address - Fax:717-274-5492
Practice Address - Street 1:618 CORNWALL RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7089
Practice Address - Country:US
Practice Address - Phone:717-274-5491
Practice Address - Fax:717-274-5492
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002168L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007903830001Medicaid
PA407456OtherHIGHMARK BLUE SHIELD
PA02693600OtherCAPITAL BLUE CROSS
PA407456Medicare ID - Type Unspecified
PA0007903830001Medicaid