MEDICARE: CHELSEA FOOT AND ANKLE, P.C.

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	213ES0131X	Foot Surgery Podiatrist	N005936	NY

General Provider Information

NPI Number	:	1619193232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHELSEA FOOT AND ANKLE, P.C.

Provider Business Mailing Address
First Line	:	37 W 20TH ST
Second Line	:	SUITE 308
City	:	NEW YORK
State	:	NY
Zip	:	10011-3706
Country	:	US
Telephone Number	:	646-929-4149
Fax Number	:	347-577-9457

Provider Business Practice Location Address
First Line	:	37 W 20TH ST
Second Line	:	SUITE 308
City	:	NEW YORK
State	:	NY
Zip	:	10011-3706
Country	:	US
Telephone Number	:	646-929-4149
Fax Number	:	347-577-9457

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ETHAN JOSEPH CIMENT
Credential	:	D.P.M.
Telephone Number	:	646-929-4149

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	02/13/2012

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