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NPI Code Detail

MEDICARE: DR BIJOU NFOR PODIATRY PC

MEDICARE: DR BIJOU NFOR PODIATRY 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
1213ES0103XFoot & Ankle Surgery Podiatrist006418NY

General Provider Information

NPI Number : 1891047452
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR BIJOU NFOR PODIATRY PC
Provider Business Mailing Address
First Line : 3340 BAYCHESTER AVE APT A
Second Line :
City : BRONX
State : NY
Zip : 10475-1514
Country : US
Telephone Number : 718-975-0056
Fax Number :
Provider Business Practice Location Address
First Line : 3340 BAYCHESTER AVE APT A
Second Line :
City : BRONX
State : NY
Zip : 10475-1514
Country : US
Telephone Number : 718-975-0056
Fax Number :
Authorized Official
Title or Position : PODIATRIST
Name : DR. BIJOU DENNIS-NFOR
Credential : DPM
Telephone Number : 718-975-0056
Provider Enumeration Date : 10/07/2012
Last Update Date : 10/07/2012

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Directions to “DR BIJOU NFOR PODIATRY PC ” Practice Location

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