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Organization

BOLTROPE PODIATRY NY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY GEWIRTZ (MEDICAL DIRECTOR)
(201) 391-1113
Entity
Organization

Contact information

Practice address
111 MAIN ST, NANUET, NY 10954-2884
(845) 623-5863
Mailing address
365 W PASSAIC ST STE 530, ROCHELLE PARK, NJ 07662-3012
(201) 571-0214

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
213E00000X
Podiatrist
Primary
213ES0103X
Foot & Ankle Surgery Podiatrist
213ES0131X
Foot Surgery Podiatrist

Other

Enumeration date
04/25/2022
Last updated
11/13/2025
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