Modern Podiatric Care P.C

LBN: Modern Podiatric Care P.C
Modern Podiatric Care P.C is an health care organization with primary practice located at 9204 Springfield Blvd , Queens Village NY 11428-1857. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Modern Podiatric Care P.C can be contacted via phone (718) 465-3040, or through Nwakanma, Michael C. via phone (718) 465-3040.

Contact Information

Primary practice address
9204 Springfield Blvd Queens Village NY 11428-1857
Phone: (718) 465-3040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nwakanma, Michael C. Doctor of Podiatric Medicine (DPM)
Phone: (718) 465-3040

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 005629 New York

Profile Details

NPI number 1023299674
LBN Legal business name Modern Podiatric Care P.C
DBA Doing business as
Authorized official Nwakanma, Michael C. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2007
Last updated Jan 5th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023299674 NPPES
New York MEDICAID 01984110

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