Organization
BRYAN G. POPOVICI, DPM, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN G. POPOVICI DPM (PODIATRIST)
(315) 451-8256
Entity
Organization
Contact information
Practice address
7304 OSWEGO RD, LIVERPOOL, NY 13090-3718
(315) 451-8256
(315) 451-2335
Mailing address
7304 OSWEGO ROAD, LIVERPOOL, N.Y. 13090
(315) 451-8256
(315) 451-2335
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NOO3830
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061216
GHI
NY
05
—
00920594
—
NY
01
—
040426015156
FIDELIS
—
01
—
100007266502
AMERICHOICE/UNITED HEALTHCARE
NY
01
—
480005715
TRAVELERS MEDICARE
—
01
—
5219121
AETNA
—
01
—
57106
HEALTHNET
—
01
—
6813
TOTAL CARE
—
Enumeration date
05/15/2008
Last updated
03/16/2010
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