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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.

physician-icon Basic Information

Practice Location 206 Tuscorora Road, Chittenango, NY 13037-0000, US
Practice Location Phone315-687-9400
Practice Location Fax315-687-9494
Legal Business NamePODIATRY SERVICES OF CENTRAL NEW YORK, PC
NPI ?1881075901
Entity TypeOrganization
Enumeration Date ? Jun 15, 2015
Last Update Date ? Jul 14, 2015
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Podiatry Services Of Central New York, Pc

SpecialtySpecializationLicenseLicense State
PodiatristFoot & Ankle Surgery N002777-1New York

legacy-id-icon Legacy Provider IDs of Podiatry Services Of Central New York, Pc

Provider IdIssuer StateIssuer TypeIssuer
53631ANew YorkMedicare Pin

official-icon 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/PositionOWNER
Authorized Official Phone Number315-458-1777