Provider Demographics
NPI:1457931610
Name:PODIATRY COMPANY LLC
Entity Type:Organization
Organization Name:PODIATRY COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NACHUM
Authorized Official - Middle Name:
Authorized Official - Last Name:PELCOVITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-792-0070
Mailing Address - Street 1:301 MILL RD STE U7
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1232
Mailing Address - Country:US
Mailing Address - Phone:516-792-0070
Mailing Address - Fax:
Practice Address - Street 1:301 MILL RD STE U7
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1232
Practice Address - Country:US
Practice Address - Phone:516-792-0070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty