Provider Demographics
NPI:1548268899
Name:FUCHS, DAVID BRUCE (DPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRUCE
Last Name:FUCHS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 CYNTHIA DR
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4925
Mailing Address - Country:US
Mailing Address - Phone:516-292-2372
Mailing Address - Fax:516-292-2372
Practice Address - Street 1:855 CYNTHIA DR
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-4925
Practice Address - Country:US
Practice Address - Phone:516-292-2372
Practice Address - Fax:516-292-2372
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-11
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003355-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP35633OtherEMPIRE BC/BS
NY80940OtherGROUP HEALTH INC
NY00698206Medicaid
NY00698206Medicaid
T32111Medicare UPIN
NYP35633OtherEMPIRE BC/BS
NY1256200001Medicare NSC