Individual
DR. NEAL MICHAEL VICHINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6916 261ST ST, FLORAL PARK, NY 11004-1012
(718) 389-1800
(718) 349-7783
Mailing address
6916 261ST ST, FLORAL PARK, NY 11004-1012
(718) 389-1800
(718) 349-7783
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NY 002345
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00413938
—
NY
01
—
0079467
GHI
NY
01
—
05340
GHI MEDICARE
NY
01
—
201929
UNITED HC
NY
Enumeration date
02/15/2007
Last updated
10/11/2017
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