| Organization Name: | STEFAN BOJSIUK DPM |
| NPI Number: | 1831371061 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEFAN BOJSIUK (OWNER) |
| Mailing Address: | 30 E Main St Walden |
| State: | NY US |
| Postal Code: | 125861840 |
| Phone Number: | 8457782633 |
| Fax Number: | 8457782633 |
| NPI Enumeration Date: | 11/29/2007 |
| NPI Last Update Date: | 01/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | N0043341 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |