Podiatry Services Of Central New York, Pc
Podiatry Services Of Central New York, Pc is a health care provider in North Syracuse, NY. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 206 Tuscorora Road, Chittenango, NY 13037-0000, US |
|Practice Location Phone||315-687-9400|
|Practice Location Fax||315-687-9494|
|Legal Business Name||PODIATRY SERVICES OF CENTRAL NEW YORK, PC|
|Enumeration Date ? ||Jun 15, 2015|
|Last Update Date ? ||Jul 14, 2015|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Podiatry Services Of Central New York, Pc
|Specialty||Provider Type||Specialization||License||License State|
|Podiatrist||Podiatric Medicine & Surgery Service Providers||Foot & Ankle Surgery ||N002777-1||New York|
Legacy Provider IDs of Podiatry Services Of Central New York, Pc
|Provider Id||Issuer State||Issuer Type||Issuer|
|53631A||New York||Medicare Pin|
Authorized Official of Podiatry Services Of Central New York, Pc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Podiatry Services Of Central New York, Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Freddie L Edelman (DPM)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||315-458-1777|