=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366516700
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PERSONAL PODIATRY, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2006
-----------------------------------------------------
Last Update Date | 02/10/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 111 N CENTRAL AVE SUITE 231
-----------------------------------------------------
City | HARTSDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10530-1903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-683-6177
-----------------------------------------------------
Fax | 914-683-6442
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 111 N CENTRAL AVE SUITE 231
-----------------------------------------------------
City | HARTSDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10530-1903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-683-6177
-----------------------------------------------------
Fax | 914-683-6442
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. CHRISTOPHER A ORLANDO
-----------------------------------------------------
Credential | D.P.M.
-----------------------------------------------------
Telephone | 914-683-6177
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213E00000X
-----------------------------------------------------
Taxonomy Name | Podiatrist
-----------------------------------------------------
License Number | N002546
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------