# BRUMMER SURGICAL PODIATRY PC

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

## Provider details

- **NPI number:** 1205021128
- **Authorized official:** JOHN J BRUMMER DPM (PRESIDENT)
- **Authorized official phone:** (212) 758-3939

## Contact information

- **Practice address:** 515 MADISON AVE, 1720, NEW YORK, NY 10022-5403
- **Practice address phone:** (212) 758-3939
- **Practice address fax:** (212) 758-4244
- **Mailing address:** 515 MADISON AVE, 1720, NEW YORK, NY 10022-5403
- **Mailing address phone:** (212) 758-3939
- **Mailing address fax:** (212) 758-4244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 005577 | NY | Yes |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 09/14/2007