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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

NPI # 1164586723
LBN Legal business name 5TH AVENUE PODIATRY, PC
Authorized official BEN DIMICHINO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2006
Last updated 04/02/2009 - About 17 years ago
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
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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