Provider Demographics
NPI:1427432186
Name:NYC UWS PODIATRIST SURGERY P.C.
Entity type:Organization
Organization Name:NYC UWS PODIATRIST SURGERY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-663-3668
Mailing Address - Street 1:220 W 98TH ST
Mailing Address - Street 2:SUITE 1-K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5661
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 W 98TH ST
Practice Address - Street 2:SUITE 1-K
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-5661
Practice Address - Country:US
Practice Address - Phone:212-663-3668
Practice Address - Fax:212-663-3995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-13
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty