National Provider Identifier Database

JACQUELINE F NOBOA, DPM – NPI #1114091865
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

JACQUELINE F NOBOA, DPM
3898 SEDGWICK AVENUE
2L
BRONX, NY10463
Phone: 718-548-1988
Fax: 718-548-1988
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for JACQUELINE F NOBOA

NPI Number 1114091865
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • NY License #: N004510
  • NY Medicaid: 01132636
  • NY Other: 000592413 APWU
  • NY Other: 0021631 GHI
  • NY Other: 480015944 PALMETTO GBA RAILROAD MED
Hospital affiliation n/a

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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