MICHAEL L WODKA D.P.M. PC NPI 1891972089

NPI Information

NPI: 1891972089
Provider Name: MICHAEL L WODKA D.P.M. PC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
30 INDUSTRIAL DR
MIDDLETOWN, NY
ZIP 10941
Phone: (845) 692-3338
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MICHAEL L WODKA D.P.M. PC is a primary podiatric medicine podiatrist in Middletown, NY. MICHAEL L WODKA D.P.M. PC NPI is 1891972089. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 INDUSTRIAL DR
MIDDLETOWN, NY
ZIP 10941-662
Phone: (845) 692-3338

The provider's authorized official is Michael L Wodka .
The authorized official title is President and has the following contact phone number (845) 692-3338.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 1/30/2008.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	N003161-1	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	00554738	MEDICAID	NEW YORK
2	4697460001	MEDICARE NSC	NEW YORK
3	P5W041	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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