Provider Demographics
NPI:1598847246
Name:THOMAS J FURCI DPM PC
Entity Type:Organization
Organization Name:THOMAS J FURCI DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:FURCI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:631-589-8484
Mailing Address - Street 1:43 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-1601
Mailing Address - Country:US
Mailing Address - Phone:631-589-8484
Mailing Address - Fax:631-589-8553
Practice Address - Street 1:43 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-1601
Practice Address - Country:US
Practice Address - Phone:631-589-8484
Practice Address - Fax:631-589-8553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5961990001Medicare NSC