Provider Demographics
NPI:1962629311
Name:MARIA A BRANCA, DPM, PC
Entity type:Organization
Organization Name:MARIA A BRANCA, DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRANCA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:914-969-0231
Mailing Address - Street 1:909 MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1092
Mailing Address - Country:US
Mailing Address - Phone:914-969-0231
Mailing Address - Fax:914-969-0200
Practice Address - Street 1:909 MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1092
Practice Address - Country:US
Practice Address - Phone:914-969-0231
Practice Address - Fax:914-969-0200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03245374Medicaid
NY6379320001Medicare NSC
NYPNW271Medicare ID - Type Unspecified