MEDICARE: HENRY C GINSBERG DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N003240	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P501582	OTHER		OXFORD

General Provider Information

NPI Number	:	1003893496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRY C GINSBERG DPM

Provider Business Mailing Address
First Line	:	585 EUCLID AVE
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-3124
Country	:	US
Telephone Number	:	516-486-0966
Fax Number	:	516-486-0910

Provider Business Practice Location Address
First Line	:	585 EUCLID AVE
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-3124
Country	:	US
Telephone Number	:	516-486-0966
Fax Number	:	516-486-0910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	11/19/2007

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