Provider Demographics
NPI:1518363290
Name:TALIA SHWER PODIATRY PC
Entity Type:Organization
Organization Name:TALIA SHWER PODIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHWER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:813-431-8306
Mailing Address - Street 1:1501 W 6TH ST APT 1A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4925
Mailing Address - Country:US
Mailing Address - Phone:813-431-8306
Mailing Address - Fax:212-786-0595
Practice Address - Street 1:1501 W 6TH ST APT 1A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4925
Practice Address - Country:US
Practice Address - Phone:813-431-8306
Practice Address - Fax:212-786-0595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-07
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006513213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty