Healthcare Provider Details

I. General information

NPI: 1275628083
Provider Name (Legal Business Name): URGENT FOOT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1387 GRAND CONCOURSE SUITE LLA
BRONX NY
10452-6754
US

IV. Provider business mailing address

1387 GRAND CONCOURSE SUITE LLA
BRONX NY
10452-6754
US

V. Phone/Fax

Practice location:
  • Phone: 718-992-9918
  • Fax: 718-992-9919
Mailing address:
  • Phone: 718-992-9918
  • Fax: 718-992-9919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN005563
License Number StateNY

VIII. Authorized Official

Name: DR. DENNIS S NACHMANN
Title or Position: PRESIDENT
Credential: DPM
Phone: 718-992-9918