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Organization
DR LLOYD BARDFELD
Active
Organization
DR LLOYD BARDFELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLENE WALTERS (OFFICE ADMINISTRATOR)
(718) 337-6345
Entity
Organization
Contact information
Practice address
918 CORNAGA AVE, FAR ROCKAWAY, NY 11691-5002
(718) 337-6345
(718) 337-3229
Mailing address
918 CORNAGA AVE, FAR ROCKAWAY, NY 11691-5002
(718) 337-6345
(718) 337-3229
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N002317
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N002317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00414599
—
NY
01
—
56472A
MEDICARE GHI
NY
01
—
P25751
MEDICARE BLUE CROSS /BLUE
NY
Enumeration date
04/16/2008
Last updated
04/16/2008
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