New Image Podiatry P.C.

LBN: New Image Podiatry P.C.
New Image Podiatry P.C. is an health care organization with primary practice located at 6143 Jericho Tpke Suite 102, Commack NY 11725-2809. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. New Image Podiatry P.C. can be contacted via phone (631) 864-7380, or through Vidal, Luis A via phone (631) 864-7380.

Contact Information

Primary practice address
6143 Jericho Tpke Suite 102 Commack NY 11725-2809
Phone: (631) 864-7380
Fax: (631) 864-7381
Website:
Map and Directions
Authorized official contact:
Name: Vidal, Luis A Doctor of Podiatric Medicine (DPM)
Phone: (631) 864-7380

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N006167 New York

Profile Details

NPI number 1952314148
LBN Legal business name New Image Podiatry P.C.
DBA Doing business as
Authorized official Vidal, Luis A Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Apr 28th, 2008 - about 16 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 1952314148 NPPES
New York MEDICAID 02832759
New York Other 07800
New York Other PDWF01

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