MEDICARE: STATEN ISLAND PODIATRY, 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	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1942340948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STATEN ISLAND PODIATRY, P.C.

Provider Business Mailing Address
First Line	:	364 EDISON ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-3041
Country	:	US
Telephone Number	:	718-524-4112
Fax Number	:	718-524-4189

Provider Business Practice Location Address
First Line	:	364 EDISON ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-3041
Country	:	US
Telephone Number	:	718-524-4112
Fax Number	:	718-524-4189

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SUSHEEL BATHLA
Credential	:	M.D
Telephone Number	:	917-826-5709

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	01/05/2010

Similar Medicare Providers

1871596387 — DR. SUSHEEL BATHLA DPM
Practice Location Address:

364 EDISON ST
STATEN ISLAND, NY
10306-3041

Practice Phone: 718-524-4112
Practice Fax: 718-524-4189

1235119660 — DANIEL MEGNA MD
Practice Location Address:

360 EDISON ST
STATEN ISLAND, NY
10306-3041

Practice Phone: 718-351-6277
Practice Fax: 718-980-7341

1922172733 — DR. ROBERT A MIELE DPM
Practice Location Address:

364 EDISON ST
STATEN ISLAND, NY
10306-3041

Practice Phone: 718-524-4112
Practice Fax: 718-524-4189

1518107283 — ENDO ASSOCIATES OF STATEN ISLAND, PLLC
Practice Location Address:

360 EDISON ST
STATEN ISLAND, NY
10306-3041

Practice Phone: 718-351-6389
Practice Fax:

1770673592 — DR. WAGUIH AZMI SIDHOM DDS
Practice Location Address:

5 KEEGANS LN
STATEN ISLAND, NY
10308-3041

Practice Phone: 718-984-6181
Practice Fax: 718-984-6659

1669758272 — MS. LALA KASSIM MS ED.
Practice Location Address:

173 FOSTER RD
STATEN ISLAND, NY
10309-3041

Practice Phone: 718-948-4466
Practice Fax:

Directions to “STATEN ISLAND PODIATRY, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.