MEDICARE: BAY PODIATRY ASSOCIATES,PLLC

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	213ES0131X	Foot Surgery Podiatrist	N002850-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0003330	OTHER	NY	GHI
2	KS894	OTHER	NY	OXFORD
3	1791598	OTHER	NY	AETNA
4	36584P	OTHER	NY	H.I.P.
5	063387	OTHER	NY	ELDERPLAN
6	2511826	OTHER		TOUCHSTONE
7	62210946	OTHER	NY	ALANTIS
8	P32051	OTHER	NY	BLUE CROSS BLUE SHIELD
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	346800101	OTHER	NY	HEALTH PLUS
11	6C4078	OTHER	NY	HEALTHNET

General Provider Information

NPI Number	:	1932377587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY PODIATRY ASSOCIATES,PLLC

Provider Business Mailing Address
First Line	:	8635 21ST AVE APT 1C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4033
Country	:	US
Telephone Number	:	171-826-6198
Fax Number	:	718-266-2203

Provider Business Practice Location Address
First Line	:	8635 21ST AVE APT 1C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4033
Country	:	US
Telephone Number	:	171-826-6198
Fax Number	:	718-266-2203

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. PHILIP GIAMMARINO
Credential	:	D.P.M.
Telephone Number	:	718-266-1986

Provider Enumeration Date	:	02/18/2008
Last Update Date	:	03/25/2024

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