Individual
DR. KEITH BORTNIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2 CROSFIELD AVE STE 302, WEST NYACK, NY 10994-2218
(845) 358-2844
(845) 358-0528
Mailing address
59 S CONSTITUTION DR, TAPPAN, NY 10983-1622
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
NY-N006715-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2012
Last updated
08/17/2018
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