Provider Demographics
NPI:1538348933
Name:NATIONAL FOOT CARE CENTER
Entity type:Organization
Organization Name:NATIONAL FOOT CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:TURRI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-294-9540
Mailing Address - Street 1:2419 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4710
Mailing Address - Country:US
Mailing Address - Phone:516-294-9540
Mailing Address - Fax:516-294-4119
Practice Address - Street 1:2419 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4710
Practice Address - Country:US
Practice Address - Phone:516-294-9540
Practice Address - Fax:516-294-4119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003452332B00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP1W421Medicare PIN
NYT51076Medicare UPIN
NYT51301Medicare UPIN
NYU11181Medicare UPIN
NYU63741Medicare UPIN
NY4697600001Medicare NSC