Provider Demographics
NPI:1326117755
Name:AMBIKA KATRIYAR, D.P.M., P.C.
Entity Type:Organization
Organization Name:AMBIKA KATRIYAR, D.P.M., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMBIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATRIYAR
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-592-7218
Mailing Address - Street 1:6 BELKNAP CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-4897
Mailing Address - Country:US
Mailing Address - Phone:516-592-7218
Mailing Address - Fax:631-239-5821
Practice Address - Street 1:205 E MAIN ST
Practice Address - Street 2:SUITE 1-2
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2923
Practice Address - Country:US
Practice Address - Phone:516-592-7218
Practice Address - Fax:631-239-5821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5770213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty