Healthcare Provider Details

I. General information

NPI: 1548240096
Provider Name (Legal Business Name): HARRY CHARLES PRYWES DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 VILLAGE SQ. PMB 227
SOMERS NY
10589-2305
US

IV. Provider business mailing address

108 VILLAGE SQ. PMB 227
SOMERS NY
10589-2305
US

V. Phone/Fax

Practice location:
  • Phone: 914-723-0125
  • Fax: 914-723-8904
Mailing address:
  • Phone: 914-723-0125
  • Fax: 914-723-8904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN2870
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: