Provider Demographics
NPI:1154144186
Name:NYC SPANISHAMERICAN FOOTCARE SERVICES PLLC
Entity type:Organization
Organization Name:NYC SPANISHAMERICAN FOOTCARE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ANARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-779-3900
Mailing Address - Street 1:3741 91ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON HGTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372
Mailing Address - Country:US
Mailing Address - Phone:718-779-3900
Mailing Address - Fax:
Practice Address - Street 1:3741 91ST
Practice Address - Street 2:
Practice Address - City:JACKSON HGTS
Practice Address - State:NY
Practice Address - Zip Code:11372
Practice Address - Country:US
Practice Address - Phone:718-779-3900
Practice Address - Fax:718-779-1514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01012413Medicaid