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GREATER QUEENS PODIATRY NPI 1033328844


NPI Information

NPI: 1033328844
Provider Name: GREATER QUEENS PODIATRY
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4343 KISSENA BLVD #110
FLUSHING, NY
ZIP 11355
Phone: (718) 463-1515
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GREATER QUEENS PODIATRY is a podiatrist in Flushing, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. GREATER QUEENS PODIATRY NPI is 1033328844. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4343 KISSENA BLVD #110
FLUSHING, NY
ZIP 11355-914
Phone: (718) 463-1515
Fax: (718) 886-6414

The provider's authorized official is Nicholas Megdanis .
The authorized official title is Physician and has the following contact phone number (718) 463-1515.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 3/28/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristN004326NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101049958MEDICAIDNEW YORK
203158AMEDICARE PINNEW YORK
3T32074MEDICARE UPINNEW YORK
44236510001MEDICARE NSCNEW 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: 11/14/2023

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