# DR LLOYD BARDFELD

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

## Provider details

- **NPI number:** 1124292685
- **Authorized official:** CARLENE WALTERS (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (718) 337-6345

## Contact information

- **Practice address:** 918 CORNAGA AVE, FAR ROCKAWAY, NY 11691-5002
- **Practice address phone:** (718) 337-6345
- **Practice address fax:** (718) 337-3229
- **Mailing address:** 918 CORNAGA AVE, FAR ROCKAWAY, NY 11691-5002
- **Mailing address phone:** (718) 337-6345
- **Mailing address fax:** (718) 337-3229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | N002317 | NY | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N002317 | NY | Yes |

## Other

- **Enumeration date:** 04/16/2008
- **Last updated:** 04/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00414599 | — | NY |
| 01 | — | 56472A | MEDICARE GHI | NY |
| 01 | — | P25751 | MEDICARE BLUE CROSS /BLUE | NY |