| Middle Village Podiatry, Pc | |
|
6412 Fresh Pond Rd, Ridgewood, NY 11385-3331 | |
| (718) 497-3000 | |
| (718) 497-3335 |
| Full Name | Middle Village Podiatry, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 6412 Fresh Pond Rd, Ridgewood, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780895888 | NPI | - | NPPES |
| 01554136 | Medicaid | NY | |
| 1376541672 | Other | NPI | |
| 480026853 | Other | NY | MC RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | N005171 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Middle Village Podiatry, Pc 6412 Fresh Pond Rd, Ridgewood, NY 11385-3331 Ph: (718) 497-3000 | Middle Village Podiatry, Pc 6412 Fresh Pond Rd, Ridgewood, NY 11385-3331 Ph: (718) 497-3000 |
Dr. Manjula Warad Shivputra, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17-31 60th Lane, Apt #311, Ridgewood, NY 11385 Phone: 347-398-7787 | |
Dr. Paul Damian Giovinco, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7127 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-821-4097 | |
Dr. Karen Marie Aglietti, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6412 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-497-3000 Fax: 718-497-3335 | |
Fresh Pond Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 6094 Putnam Ave, Ridgewood, NY 11385 Phone: 718-386-5100 | |
Daniel Alan Chaskin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 63-48 Forest Avenue, Ridgewood, NY 11385 Phone: 718-417-4895 |