Provider Demographics
NPI:1366820391
Name:NEW YORK FOOTCARE, PLLC
Entity Type:Organization
Organization Name:NEW YORK FOOTCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MCELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:POPE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:917-328-9321
Mailing Address - Street 1:3201 GRAND CONCOURSE APT 1N
Mailing Address - Street 2:SUITE 1-N
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-1226
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3201 GRAND CONCOURSE APT 1N
Practice Address - Street 2:SUITE 1-N
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-1226
Practice Address - Country:US
Practice Address - Phone:718-365-6363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006621-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty