Michael L Wodka D.P.M. Pc in Middletown - Primary Podiatric Medicine

Michael L Wodka D.P.M. Pc - NPI 1891972089

Michael L Wodka D.P.M. Pc is a Primary Podiatric Medicine in Middletown, New York. Michael L Wodka D.P.M. Pc practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Michael L Wodka D.P.M. Pc is 1891972089. The last update date is 2008-01-30.

Michael L Wodka D.P.M. Pc's current location address is 30 Industrial Dr, Middletown, New York. You can contact this provider via phone number 8456923338. The mailing address for Michael L Wodka D.P.M. Pc is 30 Industrial Dr, Middletown, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Michael L Wodka D.P.M. Pc
Address 30 Industrial Dr, Middletown, New York
Phone Number 8456923338
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wodka L Michael
Credentials D.P.M.
Telephone Number 8456923338

NPI Number Detail

NPI Number 1891972089
Provider Enumeration Date 2008-01-30
Last Updated Date 2008-01-30

Provider Mailing Address Detail

Address 30 Industrial Dr
City Middletown
State New York (NY)
Post Code 109411662
Phone Number 8456923338
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No N003161-1
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
554738 NY --

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FAQs about Michael L Wodka D.P.M. Pc

What is the Michael L Wodka D.P.M. Pc's 1891972089?

The Michael L Wodka D.P.M. Pc's NPI (National Provider Identifier) Number is 1891972089. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Michael L Wodka D.P.M. Pc's facilities are situated?

The facilities of Michael L Wodka D.P.M. Pc are physically located at the following address: 30 Industrial Dr, Middletown, NY, 109411662.

What is the Michael L Wodka D.P.M. Pc's specialty and taxonomy code?

The Michael L Wodka D.P.M. Pc's specialty is Primary Podiatric Medicine, and the corresponding taxonomy code is 213Ep1101X.

When did Michael L Wodka D.P.M. Pc receive its 1891972089 assignment?

The Michael L Wodka D.P.M. Pc was assigned its 1891972089 on 2008-01-30, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Michael L Wodka D.P.M. Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael L Wodka D.P.M. Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-30.

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