Healthcare Provider Details

I. General information

NPI: 1467635516
Provider Name (Legal Business Name): RICHMOND HILL FAMILY FOOT CARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2007
Last Update Date: 02/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 LEFFERTS BLVD
RICHMOND HILL NY
11418-2508
US

IV. Provider business mailing address

8641 LEFFERTS BLVD
RICHMOND HILL NY
11418-2508
US

V. Phone/Fax

Practice location:
  • Phone: 718-849-3338
  • Fax: 718-849-3166
Mailing address:
  • Phone: 718-849-3338
  • Fax: 718-849-3166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberN003656
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN006146
License Number StateNY

VIII. Authorized Official

Name: DR. NEMAAN J GHUMAN
Title or Position: PRESIDENT/OWNER
Credential: DPM
Phone: 718-849-3338