MEDICARE: METROPOLITAN FOOT CARE PC

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	213ES0103X	Foot & Ankle Surgery Podiatrist	N005606	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952432031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN FOOT CARE PC

Provider Business Mailing Address
First Line	:	9413 FLATLANDS AVE
Second Line	:	SUITE 201 EAST
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3707
Country	:	US
Telephone Number	:	718-649-6464
Fax Number	:	718-649-6426

Provider Business Practice Location Address
First Line	:	9413 FLATLANDS AVE
Second Line	:	SUITE 201 EAST
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3707
Country	:	US
Telephone Number	:	718-649-6464
Fax Number	:	718-649-6426

Authorized Official
Title or Position	:	OWNER
Name	:	PAYMAN RABIEI
Credential	:	DPM
Telephone Number	:	718-649-6464

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	10/23/2023

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