Organization Name: | ADVANCED WESTCHESTER PODIATRY LLP |
NPI Number: | 1629266960 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS S NACHMANN (PRESIDENT) |
Mailing Address: | 1990 E Main St Mohegan Lake |
State: | NY US |
Postal Code: | 105471231 |
Phone Number: | 9147431066 |
Fax Number: | 9147431067 |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 12/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |