Provider Demographics
NPI:1518384460
Name:DANIEL DRAPACZ DPM PC
Entity Type:Organization
Organization Name:DANIEL DRAPACZ DPM PC
Other - Org Name:NEWYORKFOOTEXPERTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAPACZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:917-284-5096
Mailing Address - Street 1:360 W 125TH ST
Mailing Address - Street 2:STE 7
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-4801
Mailing Address - Country:US
Mailing Address - Phone:917-284-5096
Mailing Address - Fax:347-287-6791
Practice Address - Street 1:360 W 125TH ST
Practice Address - Street 2:STE 7
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4801
Practice Address - Country:US
Practice Address - Phone:917-284-5096
Practice Address - Fax:347-287-6791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004524213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty