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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

NPI Number 1013063080
LBN Legal business name PELHAM PODIATRY GROUP PC
Authorized official CRAIG HERMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2007
Last updated 05/24/2010 - About 16 years ago
Identifiers
NY License # N005627
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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