Whalio Doctors

NPI 1023342581

Charles Edward Deciutiis, DPM

Practitioner Primary Podiatric Medicine Podiatrist Bronx, NY

Practice location

Address
4039 Barnes Ave, Bronx, NY 10466-4309
Phone
(718) 519-8840

Registered specialties

Primary Podiatric Medicine Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 002468 (NY)

Registry record

NPI
1023342581
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Sep 2009
Record last updated
30 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.