Provider Demographics
NPI:1073797593
Name:RAYMOND J USCINSKI, D.P.M.
Entity Type:Organization
Organization Name:RAYMOND J USCINSKI, D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:J
Authorized Official - Last Name:USCINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:814-368-8955
Mailing Address - Street 1:35 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16701-2222
Mailing Address - Country:US
Mailing Address - Phone:814-368-8955
Mailing Address - Fax:814-362-6303
Practice Address - Street 1:35 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:PA
Practice Address - Zip Code:16701-2222
Practice Address - Country:US
Practice Address - Phone:814-368-8955
Practice Address - Fax:814-362-6303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5334820001Medicare NSC