Thomas Richard Nystrom in Canton - Podiatrist
Thomas Richard Nystrom - NPI 1750477493
Thomas Richard Nystrom is a Podiatrist in Canton, New York. Thomas Richard Nystrom practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Thomas Richard Nystrom is 1750477493. The last update date is 2007-07-08.
Thomas Richard Nystrom's current location address is 80 East Main St, Canton, New York. You can contact this provider via phone number 3153868121 and fax number 3153868121. The mailing address for Thomas Richard Nystrom is 80 East Main St, Canton, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Richard Nystrom |
|---|---|
| Address | 80 East Main St, Canton, New York |
| Phone Number | 3153868121 |
| Fax Number | 3153868121 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1750477493 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 80 East Main St |
|---|---|
| City | Canton |
| State | New York (NY) |
| Post Code | 13617 |
| Phone Number | 3153868121 |
| Fax Number | 3153868121 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | N2966 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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What is the unique 10-digit identification code assigned to Thomas Richard Nystrom by the Centers for Medicare & Medicaid Services?
The Thomas Richard Nystrom has been issued the NPI (National Provider Identifier) 1750477493, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Thomas Richard Nystrom located?
The Thomas Richard Nystrom is located at 80 East Main St, Canton, NY 13617.
What is Thomas Richard Nystrom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thomas Richard Nystrom is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1750477493 to Thomas Richard Nystrom?
The Centers for Medicare & Medicaid Services assigned the 1750477493 to Thomas Richard Nystrom on 2006-10-04.
When was the information regarding Thomas Richard Nystrom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Thomas Richard Nystrom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.