Provider Demographics
NPI:1477898948
Name:GARBUS PODIATRY P.C.
Entity Type:Organization
Organization Name:GARBUS PODIATRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARBUS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:845-356-1534
Mailing Address - Street 1:20 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-4913
Mailing Address - Country:US
Mailing Address - Phone:845-356-1534
Mailing Address - Fax:845-356-3970
Practice Address - Street 1:20 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-4913
Practice Address - Country:US
Practice Address - Phone:845-356-1534
Practice Address - Fax:845-356-3970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-10
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN3735213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty