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NPI Code Detail

MEDICARE: CENTRAL PARK FOOT REHASBILITATION ASSOCIATES

MEDICARE: CENTRAL PARK FOOT REHASBILITATION ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist004733NY

General Provider Information

NPI Number : 1528196177
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL PARK FOOT REHASBILITATION ASSOCIATES
Provider Business Mailing Address
First Line : 2172 CENTRAL PARK AVE
Second Line :
City : YONKERS
State : NY
Zip : 10710-1826
Country : US
Telephone Number : 914-337-4900
Fax Number : 914-337-5228
Provider Business Practice Location Address
First Line : 2172 CENTRAL PARK AVE
Second Line :
City : YONKERS
State : NY
Zip : 10710-1826
Country : US
Telephone Number : 914-337-4900
Fax Number : 914-337-5228
Authorized Official
Title or Position : V.PRESIDENT
Name : DR. ERIC G WALTER
Credential : DPM
Telephone Number : 914-337-4900
Provider Enumeration Date : 03/02/2007
Last Update Date : 12/18/2007

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Directions to “CENTRAL PARK FOOT REHASBILITATION ASSOCIATES ” Practice Location

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