MEDICARE: DR. NICHOLAS F SEKETA D.P.M.

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	213EP1101X	Primary Podiatric Medicine Podiatrist	N2900	NY

General Provider Information

NPI Number	:	1194812370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS F SEKETA D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 598
Second Line	:
City	:	WHITNEY POINT
State	:	NY
Zip	:	13862-0598
Country	:	US
Telephone Number	:	607-692-4212
Fax Number	:

Provider Business Practice Location Address
First Line	:	2673 MAIN STREET
Second Line	:
City	:	WHITNEY POINT
State	:	NY
Zip	:	13862-0598
Country	:	US
Telephone Number	:	607-692-4212
Fax Number	:

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	06/30/2011

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