| Organization Name: | DR. MICHAEL SUBIK LLC |
| NPI Number: | 1144593914 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL SUBIK (LLC) |
| Mailing Address: | 160 Ridge Rd First Floor Lyndhurst |
| State: | NJ US |
| Postal Code: | 070711253 |
| Phone Number: | 2019399098 |
| Fax Number: | 2019395614 |
| NPI Enumeration Date: | 02/09/2012 |
| NPI Last Update Date: | 02/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | MD002524 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |