Provider Demographics
NPI:1043314222
Name:WHITMAN, PHILIP LEWIS (DPM)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:LEWIS
Last Name:WHITMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:PHILIP
Other - Middle Name:L
Other - Last Name:WHITMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM PC
Mailing Address - Street 1:220 EAST 63RD STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-473-8529
Mailing Address - Fax:212-473-9447
Practice Address - Street 1:220 EAST 63RD STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-473-8529
Practice Address - Fax:212-473-9447
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002629213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP29601Medicare PIN