MEDICARE: MICHAEL R HUTZEL 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	N004996	NY

General Provider Information

NPI Number	:	1457347361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL R HUTZEL DPM

Provider Business Mailing Address
First Line	:	3650 MERRICK RD
Second Line	:
City	:	SEAFORD
State	:	NY
Zip	:	11783-2811
Country	:	US
Telephone Number	:	516-221-5982
Fax Number	:	516-221-0729

Provider Business Practice Location Address
First Line	:	3650 MERRICK RD
Second Line	:
City	:	SEAFORD
State	:	NY
Zip	:	11783-2811
Country	:	US
Telephone Number	:	516-221-5982
Fax Number	:	516-221-0729

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	04/03/2025

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