National Provider Identifier Database

SOUTHSIDE PODIATRY PC
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

SOUTHSIDE PODIATRY PC
903 E 82ND ST
BROOKLYN, NY11236
Phone: 718-241-2000
Fax: 718-241-5281
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for SOUTHSIDE PODIATRY PC

NPI Number 1205968799
Legal business name
LBN
SOUTHSIDE PODIATRY PC
Authorized official MARK HUPART - (DPM/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/10/2007
Last updated 07/19/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: N002003-1
  • NY License #: N004686
  • NY Medicaid: 01180363
  • NY Medicaid: 01522036

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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