Organization
CHELSEA VILLAGE PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIDDHARTHA SHARMA DPM (PRESIDENT)
(718) 836-1017
Entity
Organization
Contact information
Practice address
314 W 14TH ST, 6TH FLOOR, NEW YORK, NY 10014-5002
(212) 366-1548
Mailing address
420 74TH ST, BROOKLYN, NY 11209-2602
(718) 836-1017
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00305100
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
N006276
NY
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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