DR. KEITH BORTNIKER (NPI# 1508116823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508116823 |
Entity Type | Individual |
Full Name | DR. KEITH BORTNIKER |
Credential | D.P.M. |
Practice Address |
2 Crosfield Ave Ste 302 West Nyack NY 10994-2218 |
Mailing Address |
59 S Constitution Dr Tappan NY 10983-1622 |
Practice Telephone | 8453582844 |
Practice Fax Number | 8453580528 |
Enumeration Date | 2012-09-13 |
Last Update Date | 2018-08-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
NY-N006715-1 | NY | Podiatric Medicine & Surgery Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
600 E 233rd St, Bronx, NY 104662604 | 7189209000 |
Street Address |
2 CROSFIELD AVE STE 302 |
City | WEST NYACK |
State | NY |
Zip Code | 10994-2218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932594330 | Adam Nowland | Podiatrist | 2 Crosfield Ave Ste 302, West Nyack, NY 10994 | 2015-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
1063948792 | Kristine Uzolina-shportko | Dentist | 3645 Palisades Center Drive, West Nyack, NY 10994 | 2017-05-01 |
1689016909 | Kathleen Ann Colaluca-borbon | Behavioral Analyst | 10 Brookhill Dr, West Nyack, NY 10994 | 2013-07-28 |
1528409380 | Donald Alvin Winikoff | Pediatrics | 12 Woodward Road, West Nyack, NY 10994 | 2013-07-09 |
1740557107 | Patricia Martone | Registered Nurse | 65 Parrott Rd., West Nyack, NY 10994 | 2011-11-29 |
1679855142 | Rockland Children's Psychiatric Center | Psychiatric Hospital | 65 Parrott Road, Bldg.6, West Nyack, NY 10994 | 2011-09-12 |
1306128814 | Rockland Children's Psychiatric Center | Psychiatric Hospital | 65 Parrott Road Building 6, West Nyack, NY 10994 | 2011-09-12 |
1851616940 | Susan Marie Toscano | Early Intervention Provider Agency | 7 Kenbar Rd, West Nyack, NY 10994 | 2010-03-31 |
1225282007 | Maria Rossetti | Speech-Language Pathologist | 65 Parrot Road, Rockland Boces, West Nyack, NY 10994 | 2008-11-06 |
1932377645 | All Care Family Nurse Practitioners LLC | Nurse Practitioner | 2244 Palisades Center Drive, West Nyack, NY 10994 | 2008-02-15 |
Find all providers in zip 10994 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376159756 | West Side Foot Group, L.l.p. | Podiatrist | 244 W 54th St Fl 10, New York, NY 10019-5597 | 2020-09-21 |
1740815836 | Ernest L Isaacson Dpm PC | Podiatrist | 4 Technology Dr Ste 110, East Setauket, NY 11733-4068 | 2020-03-09 |
1619502242 | Westhampton Beach Podiatry P.C. | Podiatrist | 70 C Old Riverhead Road, Westhampton Beach, NY 11978 | 2020-03-04 |
1568025641 | Afsana Qader, Dpm P.c | Podiatrist | 182 Martine Ave, White Plains, NY 10601-3305 | 2019-04-15 |
1396233664 | Dr. Mariola Rivera Podiatry, Pllc | Podiatrist | 10 Mitchell Pl Ste 105, White Plains, NY 10601-4300 | 2018-04-23 |
1457856403 | Bgy Podiatry PC | Podiatrist | 9810 64th Ave Apt Gb, Rego Park, NY 11374-2501 | 2018-03-29 |
1184135568 | Active Podiatry Pllc | Podiatrist | 149 Marine Ave Apt La, Brooklyn, NY 11209-7712 | 2017-10-12 |
1730623869 | Westside Podiatry Group | Podiatrist | 507 Beahan Rd, Rochester, NY 14624-3403 | 2016-12-08 |
1386191203 | Comprehensive Podiatric Foot Care Pllc | Podiatrist | 88-34 161th Street, Jamaica, NY 11432-4040 | 2016-09-08 |
1104277185 | Zhi Q Huang | Podiatrist | 2130 E 24th St, First Floor, Brooklyn, NY 11229-4902 | 2016-06-30 |
Find all providers with the same taxonomy |
City | WEST NYACK |
Zip Code | 10994 |
Please comment or provide details below to improve the information on DR. KEITH BORTNIKER.
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.