Organization Name: | OLEAN PODIATRY,P.C. |
NPI Number: | 1013086925 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PUNEET S. CHAHAL (OWNER/CEO) |
Mailing Address: | 2605 West State Street Olean |
State: | NY US |
Postal Code: | 14760 |
Phone Number: | 7163727396 |
Fax Number: | 7163721451 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 03/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |