Organization Name: | KATONAH PODIATRY, PC |
NPI Number: | 1245376342 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA S HOFFMAN (OWNER) |
Mailing Address: | 200 Katonah Ave Katonah |
State: | NY US |
Postal Code: | 105362175 |
Phone Number: | 9142328880 |
Fax Number: | 9142322245 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 03/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | N003360-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |