Organization
TRISTATE PODIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NACHUM PELCOVITZ D.P.M. (PRESIDENT)
(516) 239-8300
Entity
Organization
Contact information
Practice address
183 WILDACRE AVE, LAWRENCE, NY 11559-1414
(516) 239-8300
(516) 371-9418
Mailing address
183 WILDACRE AVE, LAWRENCE, NY 11559-1414
(516) 239-8300
(516) 371-9418
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003598-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00792609
—
NY
05
—
3071917
—
CT
05
—
9073205
—
NJ
Enumeration date
10/25/2006
Last updated
01/08/2010
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