Provider Demographics
NPI:1558559328
Name:MANHATTAN PODIATRY, PLLC
Entity Type:Organization
Organization Name:MANHATTAN PODIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:SHUO-CHIH
Authorized Official - Last Name:CHIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-925-8805
Mailing Address - Street 1:254 CANAL ST
Mailing Address - Street 2:SUITE 2005
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3501
Mailing Address - Country:US
Mailing Address - Phone:212-925-8805
Mailing Address - Fax:212-925-8806
Practice Address - Street 1:254 CANAL ST
Practice Address - Street 2:SUITE 2005
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3501
Practice Address - Country:US
Practice Address - Phone:212-925-8805
Practice Address - Fax:212-925-8806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005565213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02354790Medicaid
NY02354790Medicaid