Bruce Alan Dorman in Fresh Meadows - Podiatrist

Bruce Alan Dorman - NPI 1457353856

Bruce Alan Dorman is a Podiatrist in Fresh Meadows, New York. Bruce Alan Dorman practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Bruce Alan Dorman is 1457353856. The last update date is 2012-09-30.

Bruce Alan Dorman's current location address is 6134 188th St, Fresh Meadows, New York. You can contact this provider via phone number 7184544333 and fax number 7184544823. The mailing address for Bruce Alan Dorman is 6134 188th St, Fresh Meadows, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Alan Dorman
Address 6134 188th St, Fresh Meadows, New York
Phone Number 7184544333
Fax Number 7184544823
Sole Proprietor Y
Credentials D.P.M.

NPI Number Detail

NPI Number 1457353856
Provider Enumeration Date 2005-08-15
Last Updated Date 2012-09-30

Provider Mailing Address Detail

Address 6134 188th St
City Fresh Meadows
State New York (NY)
Post Code 113652726
Phone Number 7184544333
Fax Number 7184544823

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No NY003551
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25415 NY GHI
818933 NY --
P38382 NY BLUE CROSS
P559929 NY OXFORD INSURANCE

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FAQs about Bruce Alan Dorman

What is the unique identifier code issued to Bruce Alan Dorman by the Centers for Medicare & Medicaid Services?

The Bruce Alan Dorman has been assigned the NPI (National Provider Identifier) 1457353856. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Bruce Alan Dorman?

The Bruce Alan Dorman is physically situated at 6134 188Th St, in the city of Fresh Meadows, state of NY, with the postal code 113652726.

What is Bruce Alan Dorman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bruce Alan Dorman's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

When did Bruce Alan Dorman receive its 1457353856 assignment?

The Bruce Alan Dorman was assigned its 1457353856 on 2005-08-15, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Bruce Alan Dorman most recently updated or revised?

The information pertaining to Bruce Alan Dorman, including its address, specialty, and other relevant details, was last updated or revised on 2012-09-30.

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