Provider Demographics
NPI:1528490653
Name:LASER FOOT CARE OF NEW YORK
Entity type:Organization
Organization Name:LASER FOOT CARE OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:POSNER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:914-391-4560
Mailing Address - Street 1:1255 NORTH AVE
Mailing Address - Street 2:BUILDING A, SUITE 1E
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2605
Mailing Address - Country:US
Mailing Address - Phone:914-365-2800
Mailing Address - Fax:914-365-2801
Practice Address - Street 1:1255 NORTH AVE
Practice Address - Street 2:BUILDING A, SUITE 1E
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2605
Practice Address - Country:US
Practice Address - Phone:914-365-2800
Practice Address - Fax:914-365-2801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNOO5291-1213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Multi-Specialty