Provider Demographics
NPI:1619982477
Name:NEW HYDE PARK PODIATRY PC
Entity Type:Organization
Organization Name:NEW HYDE PARK PODIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PODIATRIC MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:GNO
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARTOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-326-7936
Mailing Address - Street 1:2 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2102
Mailing Address - Country:US
Mailing Address - Phone:516-326-7936
Mailing Address - Fax:516-326-8139
Practice Address - Street 1:2 ABERDEEN RD
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2102
Practice Address - Country:US
Practice Address - Phone:516-326-7936
Practice Address - Fax:516-326-8139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0043001213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T81548Medicare UPIN
P46931Medicare ID - Type Unspecified