Provider Demographics
NPI:1164646733
Name:PLAZA FOOT CARE P.C.
Entity Type:Organization
Organization Name:PLAZA FOOT CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARLAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SPINDLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-377-1212
Mailing Address - Street 1:5412 KINGS PLZ
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5217
Mailing Address - Country:US
Mailing Address - Phone:718-377-1212
Mailing Address - Fax:
Practice Address - Street 1:5412 KINGS PLZ
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5217
Practice Address - Country:US
Practice Address - Phone:718-377-1212
Practice Address - Fax:718-258-1405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002517213ES0103X
NYN004868213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4416360001Medicare NSC
NYPOW461Medicare PIN