MEDICARE: SEAWAY ORTHOPEDICS, PC

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	178450	NY

General Provider Information

NPI Number	:	1467514463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEAWAY ORTHOPEDICS, PC

Provider Business Mailing Address
First Line	:	271 ANDREWS ST
Second Line	:
City	:	MASSENA
State	:	NY
Zip	:	13662-3401
Country	:	US
Telephone Number	:	315-769-9908
Fax Number	:	315-764-5430

Provider Business Practice Location Address
First Line	:	271 ANDREWS ST
Second Line	:
City	:	MASSENA
State	:	NY
Zip	:	13662-3401
Country	:	US
Telephone Number	:	315-769-9908
Fax Number	:	315-764-5430

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BEDROS BAKIRTZIAN
Credential	:	M.D
Telephone Number	:	315-769-9908

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	08/19/2008

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