Provider Demographics
NPI:1225036676
Name:SHUMAN, ALLEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:
Last Name:SHUMAN
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 1:1815 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-3007
Mailing Address - Country:US
Mailing Address - Phone:718-893-8866
Mailing Address - Fax:718-904-8601
Practice Address - Street 1:1815 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-3007
Practice Address - Country:US
Practice Address - Phone:718-893-8866
Practice Address - Fax:718-904-8601
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002268213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T50703Medicare UPIN
NYA400036194Medicare PIN