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5 Eastdale Ave S, Poughkeepsie, NY 12603-1955 | |
| (845) 471-2243 | |
| (845) 471-2883 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 5 Eastdale Ave S, Poughkeepsie, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639179294 | NPI | - | NPPES |
| CF7210 | Other | NY | PALMETTO GBA - RR MEDICAR |
| 02461521 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 002446 (New York) | Secondary |
| 213E00000X | Podiatrist | (New York) | Primary |
| Provider Name | Bruce Edward Waxman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700957487 PECOS PAC ID: 7113908120 Enrollment ID: I20040526000628 |
| Provider Name | Richard H Frankel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073569133 PECOS PAC ID: 0648235226 Enrollment ID: I20041123000294 |
| Provider Name | Erik J Sims |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831399252 PECOS PAC ID: 1456422153 Enrollment ID: I20080624000772 |
| Provider Name | Steven Jay Cornell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639147663 PECOS PAC ID: 5193857100 Enrollment ID: I20100709000189 |
| Provider Name | Lewis J Sims |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134128960 PECOS PAC ID: 9931007127 Enrollment ID: I20101027000395 |
| Provider Name | Nidhee Dubal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093034290 PECOS PAC ID: 6002054392 Enrollment ID: I20130626000051 |
| Provider Name | Taras Vysotskyy |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962810036 PECOS PAC ID: 3274803820 Enrollment ID: I20170714001341 |
| Provider Name | Chang Yong Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902330400 PECOS PAC ID: 9133535263 Enrollment ID: I20210315001908 |
| Provider Name | Sarah Elizabeth Sitek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093207995 PECOS PAC ID: 0143576512 Enrollment ID: I20220407000123 |
| Provider Name | Nelson Negron |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447838933 PECOS PAC ID: 6103263173 Enrollment ID: I20240326002607 |
| Mailing Address | Practice Location Address |
|---|---|
5 Eastdale Ave S, Poughkeepsie, NY 12603-1955 Ph: (845) 471-2243 | 5 Eastdale Ave S, Poughkeepsie, NY 12603-1955 Ph: (845) 471-2243 |
Dr. Robert Charles Parajon, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 696 Dutchess Tpke Ste M, Poughkeepsie, NY 12603 Phone: 845-451-7266 | |
Dr. Sarah Elizabeth Sitek, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5 Eastdale Ave S, Poughkeepsie, NY 12603 Phone: 845-471-2243 Fax: 845-471-2883 | |
Dr. David Bradley Stamm, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 201 South Ave, Suite 205, Poughkeepsie, NY 12601 Phone: 845-452-0696 Fax: 845-452-1839 | |
Lewis J. Sims, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 19 Baker Ave, Ste 203, Poughkeepsie, NY 12601 Phone: 845-471-2243 Fax: 845-471-2883 | |
Dr. Leonard Stuart Gerber, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 22 Fairmont Ave, Poughkeepsie, NY 12603 Phone: 845-454-0630 Fax: 845-454-0637 |