Organization Name: | HARBOR PODIATRY,PC |
NPI Number: | 1669628020 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM J MCSHANE (PODIATRIST/PRESIDENT) |
Mailing Address: | 131 Main St Suite 7 East Rockaway |
State: | NY US |
Postal Code: | 115181739 |
Phone Number: | 5165932233 |
Fax Number: | 5165930897 |
NPI Enumeration Date: | 08/15/2008 |
NPI Last Update Date: | 12/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 003954 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |