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Contact Information

PELHAM PODIATRY GROUP PC
1015 MORRIS PARK AVENUE
BRONX, NY10462
 Phone: 718-409-2121
 Fax: 718-863-3666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PELHAM PODIATRY GROUP PC · (Female)

NPI Number 1013063080
Status Active
Credentials
Entity Individual
Enumeration date 01/25/2007
Last updated 05/24/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # N005627
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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