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MAIDEN LANE PODIATRY PC NPI 1396012258


NPI Information

NPI: 1396012258
Provider Name: MAIDEN LANE PODIATRY, PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1 MAIDEN LN
NEW YORK, NY
ZIP 10038
Phone: (212) 608-7999
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MAIDEN LANE PODIATRY, PC is a podiatrist in New York, 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. MAIDEN LANE PODIATRY, PC NPI is 1396012258. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 MAIDEN LN
NEW YORK, NY
ZIP 10038-015
Phone: (212) 608-7999
Fax: (212) 812-3258

The provider's authorized official is Jerome Benjamin Leff .
The authorized official title is Doctor and has the following contact phone number (212) 608-7999.

The enumeration date for this NPI number is 11/21/2011 and was last updated on 8/9/2016.


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
1213E00000XPodiatristN003415NEW 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
11487781589MEDICARE PIN
26706250001MEDICARE NSCNEW YORK
3T84735MEDICARE UPIN

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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