Provider Demographics
NPI:1003893496
Name:GINSBERG, HENRY C (DPM)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:C
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:585 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3124
Mailing Address - Country:US
Mailing Address - Phone:516-486-0966
Mailing Address - Fax:516-486-0910
Practice Address - Street 1:585 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3124
Practice Address - Country:US
Practice Address - Phone:516-486-0966
Practice Address - Fax:516-486-0910
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003240213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P501582OtherOXFORD
P501582OtherOXFORD