Provider Demographics
NPI:1619193232
Name:CHELSEA FOOT AND ANKLE, P.C.
Entity Type:Organization
Organization Name:CHELSEA FOOT AND ANKLE, P.C.
Other - Org Name:THE CHELSEA FOOT AND ANKLE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ETHAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CIMENT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:646-929-4149
Mailing Address - Street 1:37 W 20TH ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3706
Mailing Address - Country:US
Mailing Address - Phone:646-929-4149
Mailing Address - Fax:347-577-9457
Practice Address - Street 1:37 W 20TH ST
Practice Address - Street 2:SUITE 308
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3706
Practice Address - Country:US
Practice Address - Phone:646-929-4149
Practice Address - Fax:347-577-9457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005936213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV00820Medicare UPIN