CHRISTAL D CHARBONNET DPM P.C. NPI 1861876328

NPI Information

NPI: 1861876328
Provider Name: CHRISTAL D CHARBONNET, DPM P.C.
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
4243 RICHMOND AVE
1ST FLOOR
STATEN ISLAND, NY
ZIP 10312
Phone: (504) 460-0987
Get Directions

CHRISTAL D CHARBONNET, DPM P.C. is a foot surgery podiatrist in Staten Island, NY. CHRISTAL D CHARBONNET, DPM P.C. NPI is 1861876328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4243 RICHMOND AVE
1ST FLOOR
STATEN ISLAND, NY
ZIP 10312-221
Phone: (504) 460-0987

The provider's authorized official is Christal Charbonnet .
The authorized official title is Provider/owner and has the following contact phone number (504) 460-0987.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	N006465	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A300068955	OTHER		MEDICARE PTAN
2	03468971	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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