Provider Demographics
NPI:1790958825
Name:NEW YORK PRECISION FOOT CARE PC
Entity Type:Organization
Organization Name:NEW YORK PRECISION FOOT CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:JURCISIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-750-8344
Mailing Address - Street 1:133 E 58TH ST STE 506
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1150
Mailing Address - Country:US
Mailing Address - Phone:212-750-8344
Mailing Address - Fax:
Practice Address - Street 1:133 E 58TH ST STE 506
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1150
Practice Address - Country:US
Practice Address - Phone:212-750-8344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2017-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004398-1213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty