MID HUDSON PODIATRY PLLC NPI 1568635746

NPI Information

NPI: 1568635746
Provider Name: MID HUDSON PODIATRY, PLLC

Doing Business As: ANDREW S. WILANTEWICZ, DPM

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
282 NEW HACKENSACK RD
WAPPINGERS FALLS, NY
ZIP 12590
Phone: (845) 462-8637
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MID HUDSON PODIATRY, PLLC is a podiatric clinic center in Wappingers Falls, NY. MID HUDSON PODIATRY, PLLC NPI is 1568635746. The provider is registered as an organization entity type.
The provider Is Doing Business As Andrew S. Wilantewicz, Dpm.

The provider's business location address is:

282 NEW HACKENSACK RD
WAPPINGERS FALLS, NY
ZIP 12590-402
Phone: (845) 462-8637
Fax: (845) 462-1140

The provider's authorized official is Andrew S. Wilantewicz .
The authorized official title is Podiatric Physician/owner and has the following contact phone number (845) 462-8637.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 8/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP1100X	Clinic/Center	Podiatric	N005494	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4227600001	MEDICARE NSC	NEW YORK
2	U79350	MEDICARE UPIN	NEW YORK
3	02062119	MEDICAID	NEW YORK
4	PB5471	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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