Provider Demographics
NPI:1356421341
Name:C&GL PODIATRY ASSOCIATES, P.C.
Entity type:Organization
Organization Name:C&GL PODIATRY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GARCIA-LAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:305-546-5694
Mailing Address - Street 1:1120 WARBURTON AVE
Mailing Address - Street 2:# 4E
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1034
Mailing Address - Country:US
Mailing Address - Phone:305-546-5694
Mailing Address - Fax:
Practice Address - Street 1:2000 KINGS HWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1445
Practice Address - Country:US
Practice Address - Phone:718-787-2077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5393220001OtherDME SUPPLIER NUMBER