| Tristate Podiatry P.c. | |
|
183 Wildacre Ave, Lawrence, NY 11559-1414 | |
| (516) 239-8300 | |
| (516) 371-9418 |
| Full Name | Tristate Podiatry P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 183 Wildacre Ave, Lawrence, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376628073 | NPI | - | NPPES |
| 00792609 | Medicaid | NY | |
| 9073205 | Medicaid | NJ | |
| 3071917 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | N003598-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tristate Podiatry P.c. 183 Wildacre Ave, Lawrence, NY 11559-1414 Ph: (516) 239-8300 | Tristate Podiatry P.c. 183 Wildacre Ave, Lawrence, NY 11559-1414 Ph: (516) 239-8300 |
Dr. Debra L Breitman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 135 Rockaway Tpke Ste 107, Lawrence, NY 11559 Phone: 516-239-7400 Fax: 516-400-9039 | |
Dr. Howard Saul Miller, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 8 Ventana Ct, Lawrence, NY 11559 Phone: 917-662-6072 | |
Dr. Nachum Pelcovitz, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 183 Wildacre Ave, Lawrence, NY 11559 Phone: 516-239-8300 Fax: 516-371-9418 |