Loretta Michelle Logan in Bronx - Primary Podiatric Medicine

Loretta Michelle Logan - NPI 1821060492

Loretta Michelle Logan is a Primary Podiatric Medicine in Bronx, New York. Loretta Michelle Logan practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Loretta Michelle Logan is 1821060492. The last update date is 2009-12-02.

Loretta Michelle Logan's current location address is 3307 Hunter Ave, Bronx, New York. You can contact this provider via phone number 7186765262. The mailing address for Loretta Michelle Logan is 3307 Hunter Ave, Bronx, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Loretta Michelle Logan
Address 3307 Hunter Ave, Bronx, New York
Phone Number 7186765262
Fax Number
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1821060492
Provider Enumeration Date 2006-02-07
Last Updated Date 2009-12-02

Provider Mailing Address Detail

Address 3307 Hunter Ave
City Bronx
State New York (NY)
Post Code 104751543
Phone Number 7186765262
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No NOO4658
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
480026772 NY RAILROAD MEDICARE
1148892 NY --

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FAQs about Loretta Michelle Logan

What is the unique provider identifier assigned to Loretta Michelle Logan?

The Loretta Michelle Logan has been issued the NPI (National Provider Identifier) 1821060492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Loretta Michelle Logan?

The Loretta Michelle Logan is physically situated at 3307 Hunter Ave, in the city of Bronx, state of NY, with the postal code 104751543.

What is Loretta Michelle Logan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Loretta Michelle Logan is Primary Podiatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 213Ep1101X.

On what date did the Loretta Michelle Logan receive the assignment of its 1821060492 from the Centers for Medicare & Medicaid Services?

The Loretta Michelle Logan was issued its 1821060492 by the Centers for Medicare & Medicaid Services on 2006-02-07.

When was the information related to Loretta Michelle Logan most recently updated or refreshed?

The details pertaining to the Loretta Michelle Logan, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-02.

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