Individual
DR. NACHUM PELCOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
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
25MD00179200
NJ
213E00000X
Podiatrist
Primary
N3598
NY
213E00000X
Podiatrist
P00384
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00792609
—
NY
05
—
0586102
—
NJ
Enumeration date
07/11/2005
Last updated
11/03/2007
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