Provider Demographics
NPI:1356646095
Name:INTEGRATED PODIATRY SERVICES, PC
Entity Type:Organization
Organization Name:INTEGRATED PODIATRY SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:GINSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:917-434-2886
Mailing Address - Street 1:1 ARCADIAN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1121
Mailing Address - Country:US
Mailing Address - Phone:917-434-2886
Mailing Address - Fax:
Practice Address - Street 1:1 ARCADIAN DR
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1121
Practice Address - Country:US
Practice Address - Phone:845-244-1524
Practice Address - Fax:888-502-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty