Provider Demographics
NPI:1760448799
Name:MICHAEL H. LOSHIGIAN, DPM, PC
Entity Type:Organization
Organization Name:MICHAEL H. LOSHIGIAN, DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOSHIGIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-380-7900
Mailing Address - Street 1:17926 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1636
Mailing Address - Country:US
Mailing Address - Phone:718-380-7900
Mailing Address - Fax:718-380-5322
Practice Address - Street 1:17926 UNION TPKE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1636
Practice Address - Country:US
Practice Address - Phone:718-380-7900
Practice Address - Fax:718-380-5322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005137-2213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01578990Medicaid
NY6200914OtherGHI
NYP64481OtherEMPIRE BCBS
NY1C3792OtherHEALTHNET
NY804564OtherAETNA
NYP517365OtherOXFORD HEALTHPLAN
NYP64481OtherEMPIRE MEDICARE
NY804564OtherAETNA
NYP64481OtherEMPIRE MEDICARE