Provider Demographics
NPI:1598041998
Name:NYC PODIATRY PC
Entity Type:Organization
Organization Name:NYC PODIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENNY
Authorized Official - Middle Name:
Authorized Official - Last Name:OGOREK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:347-590-2707
Mailing Address - Street 1:140 RIVERSIDE BLVD
Mailing Address - Street 2:STE 811
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10069-0601
Mailing Address - Country:US
Mailing Address - Phone:347-590-2707
Mailing Address - Fax:347-590-2709
Practice Address - Street 1:953 SOUTHERN BLVD
Practice Address - Street 2:LOBBY
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-3428
Practice Address - Country:US
Practice Address - Phone:347-590-2707
Practice Address - Fax:347-590-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-29
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty