Provider Demographics
NPI:1366621666
Name:MICHAEL TREPAL DPM AND KEVIN JULES DPM PC
Entity type:Organization
Organization Name:MICHAEL TREPAL DPM AND KEVIN JULES DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:TREPAL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-624-8022
Mailing Address - Street 1:115 HENRY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2562
Mailing Address - Country:US
Mailing Address - Phone:718-624-8022
Mailing Address - Fax:718-624-7727
Practice Address - Street 1:115 HENRY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2562
Practice Address - Country:US
Practice Address - Phone:718-624-8022
Practice Address - Fax:718-624-7727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty