Healthcare Provider Details

I. General information

NPI: 1578557625
Provider Name (Legal Business Name): AVRAHAM YITZCHAK CIMENT DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 WHITE PLAINS RD
BRONX NY
10473-2631
US

IV. Provider business mailing address

731 WHITE PLAINS RD
BRONX NY
10473-2631
US

V. Phone/Fax

Practice location:
  • Phone: 718-563-0003
  • Fax: 718-378-2880
Mailing address:
  • Phone: 646-496-8853
  • Fax: 718-378-2880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005916
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: