MEDICARE: THOMAS J FURCI DPM 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

General Provider Information

NPI Number	:	1598847246
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS J FURCI DPM PC

Provider Business Mailing Address
First Line	:	43 BROADWAY AVE
Second Line	:
City	:	SAYVILLE
State	:	NY
Zip	:	11782-1601
Country	:	US
Telephone Number	:	631-589-8484
Fax Number	:	631-589-8553

Provider Business Practice Location Address
First Line	:	43 BROADWAY AVE
Second Line	:
City	:	SAYVILLE
State	:	NY
Zip	:	11782-1601
Country	:	US
Telephone Number	:	631-589-8484
Fax Number	:	631-589-8553

Authorized Official
Title or Position	:	OWNER
Name	:	DR. THOMAS J FURCI
Credential	:	DPM
Telephone Number	:	631-589-8484

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	02/14/2008

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