Provider Demographics
NPI:1215092069
Name:MANHATTAN PODIATRY ASSOCIATES PC
Entity type:Organization
Organization Name:MANHATTAN PODIATRY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:ABRAMOW
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-759-9090
Mailing Address - Street 1:133 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4538
Mailing Address - Country:US
Mailing Address - Phone:212-759-9090
Mailing Address - Fax:212-371-2830
Practice Address - Street 1:133 E 54TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4538
Practice Address - Country:US
Practice Address - Phone:212-759-9090
Practice Address - Fax:212-371-2830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003060213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP34331Medicare PIN
NYP34212Medicare PIN
NYP46361Medicare PIN
NYP46363Medicare PIN
NYP34211Medicare PIN
NYP34333Medicare PIN