MEDICARE: ALLEN SHUMAN 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	213EP1101X	Primary Podiatric Medicine Podiatrist

General Provider Information

NPI Number	:	1932402492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEN SHUMAN DPM PC

Provider Business Mailing Address
First Line	:	1815 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-3007
Country	:	US
Telephone Number	:	718-893-8866
Fax Number	:	718-904-8601

Provider Business Practice Location Address
First Line	:	1815 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-3007
Country	:	US
Telephone Number	:	718-893-8866
Fax Number	:	718-904-8601

Authorized Official
Title or Position	:	OWNER
Name	:	ALLEN SHUMAN
Credential	:	DPM
Telephone Number	:	718-893-8866

Provider Enumeration Date	:	12/06/2010
Last Update Date	:	09/15/2011

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