PODIATRY SERVICES OF CENTRAL NEW YORK, PC (NPI# 1083097919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083097919 |
| Entity Type | Organization |
| Organization Name | PODIATRY SERVICES OF CENTRAL NEW YORK, PC |
| Practice Address |
2187 County Rte. 12 Central Square NY 13036 |
| Mailing Address |
514 S Bay Rd North Syracuse NY 13212-3627 |
| Practice Telephone | 3156689532 |
| Practice Fax Number | 3156680164 |
| Mailing Telephone | 3154581777 |
| Mailing Fax Number | 3154589661 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | DR. FREDDIE L EDELMAN (OWNER) |
| Authorized Official Telephone | 3154581777 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
N002777-1 | NY | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558745471 | Podiatry Services of Central New York, PC | Podiatrist | 15 New Street, Oswego, NY 13126 | 2015-07-10 |
| 1710360649 | Podiatry Services of Central New York, PC | Podiatrist | 171 Grant Ave, Auburn, NY 13021 | 2015-07-09 |
| 1801279732 | Podiatry Services of Central New York, PC | Podiatrist | 4623 Onondaga Blvd., Syracuse, NY 13219 | 2015-07-09 |
| 1457734386 | Podiatry Services of Central New York, PC | Podiatrist | 6647 Kirkville Road, East Syracuse, NY 13057 | 2015-07-09 |
| 1891178729 | Podiatry Services of Central New York, PC | Podiatrist | 15 East Genesee Street, Suite 260, Baldwinsville, NY 13027 | 2015-07-09 |
| 1548643471 | Podiatry Services of Central New York, PC | Podiatrist | 4912 West Genesee Street, Camillus, NY 13031 | 2015-07-09 |
| 1538541289 | Podiatry Services of Central New York, PC | Podiatrist | 111 N Broad St, Norwich, NY 13815-1352 | 2015-06-18 |
| 1881075901 | Podiatry Services of Central New York, PC | Podiatrist | 206 Tuscorora Road, Chittenango, NY 13037-0000 | 2015-06-15 |
| 1689058489 | Podiatry Services of Central New York, PC | Podiatrist | 61 Delano Street, Pulaski, NY 13142 | 2015-07-13 |
| 1356724280 | Podiatry Services of Central New York, PC | Podiatrist | 110 North Main Street, Cortland, NY 13045 | 2015-07-09 |
| Street Address |
2187 COUNTY RTE. 12 |
| City | CENTRAL SQUARE |
| State | NY |
| Zip Code | 13036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780101220 | Tamara Lynn Keys | Licensed Practical Nurse | 344 Hickory Lane, Central Square, NY 13036 | 2017-08-25 |
| 1750756169 | Whitney Lorena Hyde | Registered Nurse | 1292 County Route 11, Central Square, NY 13036 | 2015-12-10 |
| 1427378371 | Kathleen Rose Schad | Licensed Practical Nurse | 106 Michael's Way, Central Square, NY 13036 | 2010-06-02 |
| 1518299718 | Lorie Giamartino | Pharmacist | 537 South Main Street, Central Square, NY 13036 | 2010-02-12 |
| 1255569646 | Allison Amy Bronner | Physical Therapist | 124 U.S. Route 11, Central Square, NY 13036 | 2009-06-24 |
| 1467645309 | Jo Anne Tryon | Licensed Practical Nurse | 12 Rust Memorial, Central Square, NY 13036 | 2007-08-23 |
| 1891729810 | Genesee Valley Group Health Association | Clinic/Center | 3045 East Avenue, Central Square Health Center, Central Square, NY 13036 | 2006-07-10 |
| 1356326649 | Richard A Frio | Optometrist | 3248 Fulton Ave, Central Square, NY 13036 | 2005-12-09 |
| 1851896567 | Central Square Smiles Dentistry | Dentist | 653 S Main St, Central Square, NY 13036 | 2018-03-26 |
| 1255833109 | Anton Chertkovsky | Physician Assistant | 3045 East Ave, Central Square, NY 13036 | 2018-03-07 |
| Find all providers in zip 13036 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566108 | Vu Nguyen Corp | Podiatrist | 8622 Bay Pkwy Ste 2b, Brooklyn, NY 11214-4170 | 2020-10-23 |
| 1255930079 | Atlantic Podiatry Pllc | Podiatrist | 489 Atlantic Ave # 1a, Brooklyn, NY 11217-2985 | 2020-10-22 |
| 1891393906 | Finger Lakes Podiatry of Geneva, Pllc | Podiatrist | 220 Phoenix Mills Plz, Victor, NY 14564-1414 | 2020-10-12 |
| 1497378699 | Zh Podiatrist of Westchester PC | Podiatrist | 150 Edgepark Rd, White Plains, NY 10603-2106 | 2020-05-21 |
| 1528696259 | Capital District Podiatry, Pllc | Podiatrist | 855 Route 146 Bldg B, Clifton Park, NY 12065-3885 | 2020-03-30 |
| 1629615588 | Kelly Lucas Dpm PC | Podiatrist | 925 Hempstead Tpke Ste 110, Franklin Square, NY 11010-3636 | 2019-12-10 |
| 1811544257 | Christopher Chow Dpm PC | Podiatrist | 749 61st St Ste 503, Brooklyn, NY 11220-4211 | 2019-08-21 |
| 1063074565 | Balance Foot and Ankle LLC | Podiatrist | 611 Mitchel Field Way, Garden City, NY 11530-5057 | 2019-07-03 |
| 1083270979 | Jones Thomas | Podiatrist | 518 Terrace Blvd, New Hyde Park, NY 11040-4343 | 2019-05-15 |
| 1316419690 | Rockaway Podiatry Pllc | Podiatrist | 1957 Flatbush Ave, Brooklyn, NY 11234-2819 | 2018-12-26 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL SQUARE |
| Zip Code | 13036 |
Please comment or provide details below to improve the information on PODIATRY SERVICES OF CENTRAL NEW YORK, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.