MEDICARE: DR. EDWARD CHARLES RZONCA D.P.M.

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
1	213EP1101X	Primary Podiatric Medicine Podiatrist	N003283	NY

General Provider Information

NPI Number	:	1588613905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD CHARLES RZONCA D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 100
Second Line	:	VA HUDSON VALLEY HEALTH CARE SYSTEM
City	:	MONTROSE
State	:	NY
Zip	:	10548
Country	:	US
Telephone Number	:	914-737-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2094 ALBANY POST RD
Second Line	:	VA HUDSON VALLEY HEALTH CARE SYSTEM
City	:	MONTROSE
State	:	NY
Zip	:	10548-1454
Country	:	US
Telephone Number	:	914-737-4400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	03/14/2013

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