Provider Demographics
NPI:1003865361
Name:DANIEL FIRSHEIN DPM PC
Entity Type:Organization
Organization Name:DANIEL FIRSHEIN DPM PC
Other - Org Name:DANIEL FIRSHEIN DPM
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:FIRSHEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-242-7718
Mailing Address - Street 1:7 CHRISTOPHER ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-3518
Mailing Address - Country:US
Mailing Address - Phone:212-242-7718
Mailing Address - Fax:212-242-7719
Practice Address - Street 1:7 CHRISTOPHER ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-3518
Practice Address - Country:US
Practice Address - Phone:212-242-7718
Practice Address - Fax:212-242-7719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-06
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY65002939213E00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00417978Medicaid
NY00417978Medicaid
NY0723050001Medicare NSC
NYWCW491Medicare PIN