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NPI Code Detail

MEDICARE: PODIATRY SERVICES OF CENTRAL NEW YORK P C

MEDICARE: PODIATRY SERVICES OF CENTRAL NEW YORK 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
1213ES0103XFoot & Ankle Surgery Podiatrist002777NY

General Provider Information

NPI Number : 1851435770
Entity Type Code : Organization
Provider Name (Legal Business Name) : PODIATRY SERVICES OF CENTRAL NEW YORK P C
Provider Business Mailing Address
First Line : 514 S BAY RD
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-3627
Country : US
Telephone Number : 315-458-1777
Fax Number :
Provider Business Practice Location Address
First Line : 514 S BAY RD
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-3627
Country : US
Telephone Number : 315-458-1777
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. FREDDIE L. EDELMAN
Credential : DPM
Telephone Number : 315-458-1777
Provider Enumeration Date : 02/16/2007
Last Update Date : 03/04/2014

Similar Medicare Providers

1508843855 — DR. FREDDIE L EDELMAN DPM
Practice Location Address:
514 S BAY RD
NORTH SYRACUSE, NY
13212-3627
Practice Phone: 315-458-1777
Practice Fax: 315-458-9661
1548247802 — MARK HILL DPM
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1669459830 — DR. MARK S POST DPM
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1659358828 — DR. KAREN A STANLEY DPM
Practice Location Address:
514 S BAY RD
NORTH SYRACUSE, NY
13212-3627
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1558348730 — DR. ERIC E EDELMAN
Practice Location Address:
514 S BAY RD
NORTH SYRACUSE, NY
13212-3627
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1164647715 — DR. SCOTT WILLIAM TAYLOR D.P.M.
Practice Location Address:
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13212-3627
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Practice Fax: 315-458-9661

Directions to “PODIATRY SERVICES OF CENTRAL NEW YORK P C ” Practice Location

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