Westside Podiatry Group

LBN: Westside Podiatry Group Llc
Westside Podiatry Group is an health care organization with primary practice located at 507 Beahan Rd , Rochester NY 14624-3403. 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. Westside Podiatry Group Llc can be contacted via phone (585) 247-2170, or through Tellem, Daniel Eric via phone (585) 247-2170.

Contact Information

Primary practice address
507 Beahan Rd Rochester NY 14624-3403
Fax: (585) 247-3614
Website:
Authorized official contact:
Name: Tellem, Daniel Eric Doctor of Podiatric Medicine (DPM)

Health care specialties

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

Profile Details

NPI number 1730623869
LBN Legal business name Westside Podiatry Group Llc
DBA Doing business as Westside Podiatry Group
Authorized official Tellem, Daniel Eric Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2016
Last updated Sep 25th, 2023 - about last year

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 1730623869 NPPES
New York MEDICAID 04203316

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