Provider Demographics
NPI:1912143629
Name:SUMIT DHARIA DPM, PC
Entity Type:Organization
Organization Name:SUMIT DHARIA DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:DHARIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-359-3339
Mailing Address - Street 1:100 WILSON BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3625
Mailing Address - Country:US
Mailing Address - Phone:516-359-3339
Mailing Address - Fax:
Practice Address - Street 1:100 WILSON BLVD
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-3625
Practice Address - Country:US
Practice Address - Phone:516-359-3339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006032213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty