Provider Demographics
NPI:1386822534
Name:GENE LINETSKY,DPM,PC
Entity Type:Organization
Organization Name:GENE LINETSKY,DPM,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINETSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:215-947-7350
Mailing Address - Street 1:162 PHEASANT LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-3105
Mailing Address - Country:US
Mailing Address - Phone:215-947-7350
Mailing Address - Fax:
Practice Address - Street 1:162 PHEASANT LN
Practice Address - Street 2:
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-3105
Practice Address - Country:US
Practice Address - Phone:215-947-7350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004371-L213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU67143OtherUPIN