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OSWEGO COUNTY PODIATRY PC NPI 1811039290


NPI Information

NPI: 1811039290
Provider Name: OSWEGO COUNTY PODIATRY PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
178 S 1ST ST
FULTON, NY
ZIP 13069
Phone: (315) 593-3971
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OSWEGO COUNTY PODIATRY PC is a podiatrist in Fulton, 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. OSWEGO COUNTY PODIATRY PC NPI is 1811039290. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

178 S 1ST ST
FULTON, NY
ZIP 13069
Phone: (315) 593-3971
Fax: (315) 592-5132

The provider's authorized official is Marc A Grosack .
The authorized official title is Partner and has the following contact phone number (315) 593-3971.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 2/29/2008.


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
1213E00000XPodiatristN2906NEW YORKNo
2213E00000XPodiatristN3230NEW 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
156803AMEDICARE PINNEW YORK
24054410002MEDICARE NSCNEW YORK
356802CMEDICARE PINNEW YORK
456801AMEDICARE PINNEW YORK
556802AMEDICARE PINNEW YORK
6RB3753MEDICARE PINNEW YORK
74054410001MEDICARE 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: 4/28/2024

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