MEDICARE: DR. ALLEN SHUMAN 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	002268	NY

General Provider Information

NPI Number	:	1225036676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEN SHUMAN DPM

Provider Business Mailing Address
First Line	:	1815 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-3007
Country	:	US
Telephone Number	:	718-893-8866
Fax Number	:	718-904-8601

Provider Business Practice Location Address
First Line	:	1815 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-3007
Country	:	US
Telephone Number	:	718-893-8866
Fax Number	:	718-904-8601

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	09/15/2011

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