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Steven B Axt

Podiatrist

Podiatric Medicine & Surgery Service Providers

4 Phyllis Dr, Suite A3, Patchogue, NY 11772-2900

PECOS Enrollment

This provider is enrolled in PECOS as STEVEN AXT.

Based on the most recent information from CMS, provider Steven B Axt is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:59 AM.

Profile Details

Provider ID
1497753693
Provider Type
Individual
Full Name
Axt, Steven B
Title
Dr.
Credential
D.P.M.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
7/12/2005
Last Updated
11/5/2018

Contact Information

Practice Location

4 Phyllis Dr, Suite A3, Patchogue, NY 11772-2900

(631) 475-3030

(631) 475-3036

Mailing Location

173 Mineola Blvd, Ste 201, Mineola, NY 11501-2530

(631) 475-3030

(631) 475-3036

Provider Taxonomies

Code	Description	License
Code 213E00000X Primary	Description Podiatrist Podiatric Medicine & Surgery Service Providers	License N003178 New York

Provider Identifiers

ID	Description	Issuer
ID 480000381	Description Other	Issuer MEDICARE RAILROAD New York

Steven B Axt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Esposito, Albert C

Zehentner, Joseph Michael

Albert C Esposito

Houslanger & Kassnove, Podiatrists, Pllc

East Patchogue Podiatry P.C.

Marotto, Richard

New York University

Houslanger, Neal P