Provider Demographics
NPI:1467635516
Name:RICHMOND HILL FAMILY FOOT CARE, PC
Entity Type:Organization
Organization Name:RICHMOND HILL FAMILY FOOT CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEMAAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GHUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-849-3338
Mailing Address - Street 1:8641 LEFFERTS BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2508
Mailing Address - Country:US
Mailing Address - Phone:718-849-3338
Mailing Address - Fax:718-849-3166
Practice Address - Street 1:8641 LEFFERTS BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2508
Practice Address - Country:US
Practice Address - Phone:718-849-3338
Practice Address - Fax:718-849-3166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006146213E00000X
NYN003656213ES0131X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00807754Medicaid
0811680001Medicare NSC
NY00807754Medicaid
NY60415Medicare PIN
NY08274Medicare PIN