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NPI Code Detail

MEDICARE: PODIATRY COMPANY LLC

MEDICARE: PODIATRY COMPANY LLC
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
1213E00000XPodiatrist

General Provider Information

NPI Number : 1457931610
Entity Type Code : Organization
Provider Name (Legal Business Name) : PODIATRY COMPANY LLC
Provider Business Mailing Address
First Line : 301 MILL RD STE U7
Second Line :
City : HEWLETT
State : NY
Zip : 11557-1232
Country : US
Telephone Number : 516-792-0070
Fax Number :
Provider Business Practice Location Address
First Line : 520 GLENBURN AVE
Second Line :
City : CAMBRIDGE
State : MD
Zip : 21613-1415
Country : US
Telephone Number : 212-734-6621
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : NACHUM PELCOVITZ
Credential : DPM
Telephone Number : 516-792-0070
Provider Enumeration Date : 04/12/2021
Last Update Date : 04/14/2026

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Directions to “PODIATRY COMPANY LLC ” Practice Location

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