Provider Demographics
NPI:1205386463
Name:DR. JARRET DRUCKER PODIATRY, P.C.
Entity Type:Organization
Organization Name:DR. JARRET DRUCKER PODIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JARRET
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-846-7333
Mailing Address - Street 1:121 E 60TH ST
Mailing Address - Street 2:SUITE 3D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1117
Mailing Address - Country:US
Mailing Address - Phone:212-846-7333
Mailing Address - Fax:212-846-7555
Practice Address - Street 1:121 E 60TH ST
Practice Address - Street 2:SUITE 3D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1117
Practice Address - Country:US
Practice Address - Phone:212-846-7333
Practice Address - Fax:212-486-7555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY65 006766213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty