# CHELSEA VILLAGE PODIATRY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053692251
- **Authorized official:** DR. SIDDHARTHA SHARMA DPM (PRESIDENT)
- **Authorized official phone:** (718) 836-1017

## Contact information

- **Practice address:** 314 W 14TH ST, 6TH FLOOR, NEW YORK, NY 10014-5002
- **Practice address phone:** (212) 366-1548
- **Mailing address:** 420 74TH ST, BROOKLYN, NY 11209-2602
- **Mailing address phone:** (718) 836-1017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00305100 | NJ | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N006276 | NY | — |

## Other

- **Enumeration date:** 08/31/2011
- **Last updated:** 08/31/2011