Provider Demographics
NPI:1568421394
Name:CHARNEY, DEENA LYNN (DPM)
Entity Type:Individual
Prefix:DR
First Name:DEENA
Middle Name:LYNN
Last Name:CHARNEY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:MRS
Other - First Name:DEENA
Other - Middle Name:L
Other - Last Name:CHARNEY-FINKELSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:9918 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9918 MAIN ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3901
Practice Address - Country:US
Practice Address - Phone:703-273-9818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000971213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009301101Medicaid
VAVAA101438Medicare PIN
U59550Medicare UPIN
DC826365F04Medicare PIN
VA480024613Medicare PIN