Provider Demographics
NPI:1841412152
Name:LACHER FOOTCARE PC
Entity Type:Organization
Organization Name:LACHER FOOTCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:LACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-863-3338
Mailing Address - Street 1:1340 METROPOLITAN AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-7903
Mailing Address - Country:US
Mailing Address - Phone:718-863-3338
Mailing Address - Fax:
Practice Address - Street 1:1340 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-7903
Practice Address - Country:US
Practice Address - Phone:718-863-3338
Practice Address - Fax:718-863-0936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006012213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06850Medicare ID - Type Unspecified
NYU99675Medicare UPIN