Organization
BOLTROPE PODIATRY NY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GEWIRTZ DPM (MANAGING PARTNER)
(201) 391-1113
Entity
Organization
Contact information
Practice address
3117 DITMARS BLVD, ASTORIA, NY 11105-2300
(718) 274-4040
Mailing address
201 STATE RT 17 STE 604, RUTHERFORD, NJ 07070-2905
(201) 571-0214
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07680188
—
NY
Enumeration date
09/23/2024
Last updated
09/23/2024
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