KEYSTONE PODIATRY NPI 1649418567

NPI Information

NPI: 1649418567
Provider Name: KEYSTONE PODIATRY
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
3040 E TREMONT AVE RM 101
BRONX, NY
ZIP 10461
Phone: (718) 931-9058
Get Directions

KEYSTONE PODIATRY is a primary podiatric medicine podiatrist in Bronx, NY. KEYSTONE PODIATRY NPI is 1649418567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3040 E TREMONT AVE RM 101
BRONX, NY
ZIP 10461-733
Phone: (718) 931-9058
Fax: (718) 918-0004

The provider's authorized official is Lissette Cartagena .
The authorized official title is Secretary and has the following contact phone number (718) 931-9058.

The enumeration date for this NPI number is 1/30/2009 and was last updated on 1/30/2009.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	003843-1	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	P39591	MEDICARE PIN	NEW YORK
2	T93432	MEDICARE UPIN	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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