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Contact Information

5TH AVENUE PODIATRY, PC
36 W 44TH ST
SUITE 401
NEW YORK, NY10036-8102
 Phone: 212-768-7999
 Fax: 212-398-8356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for 5TH AVENUE PODIATRY PC · (Female)

NPI # 1164586723
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2006
Last updated 04/02/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # N004656
  • Other 4450726 AETNA
  • Other P94591 EMPIRE BLUE CROSS BLUE SH
  • Other 0020595 GHI
  • Other 2C2743 HEALTHNET
  • Other P1537389 OXFORD
  • Other 792279003 UNITED HEALTHCARE
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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