Provider Demographics
NPI:1710365739
Name:EMPIRE PODIATRY P.C.
Entity Type:Organization
Organization Name:EMPIRE PODIATRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CUNHA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-921-7900
Mailing Address - Street 1:28 W 44TH ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-7406
Mailing Address - Country:US
Mailing Address - Phone:212-921-7900
Mailing Address - Fax:212-921-7908
Practice Address - Street 1:28 W 44TH ST
Practice Address - Street 2:SUITE 209
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-7406
Practice Address - Country:US
Practice Address - Phone:212-921-7900
Practice Address - Fax:212-921-7908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006348-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty