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Dr. Loretta Michelle Logan, DPM
Primary Podiatric Medicine Podiatrist in New York, New York
NPI 1821060492

Loretta Michelle Logan is a Primary Podiatric Medicine Podiatrist based in Bronx, NY and is specialized in Primary Podiatric Medicine. Loretta Michelle Logan practices in New York, NY and has the professional credentials of DPM. The NPI Number for Loretta Michelle Logan is 1821060492 and holds a License No. NOO4658 (New York).

The current practice location address for Loretta Michelle Logan is 241 W 138Th St, New York, NY and can be reached out via phone at 212-694-2392 and via fax at 212-694-4020. You can also correspond with Loretta Michelle Logan through the mailing address at 3307 HUNTER AVE, BRONX, NY - 10475-1543 (mailing address contact number: 718-676-5262).

Location: 241 W 138Th St, New York, NY, 10475-1543
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Provider Profile Details
NPI Number
1821060492
Provider Name
Loretta Michelle Logan
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
241 W 138Th St, New York, NY, 10475-1543
Phone Number
212-694-2392
Fax Number
212-694-4020
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480026772 01 NY RAILROAD MEDICARE
01148892 05 NY
institution
Provider Business Practice Location Address Details
Address
241 W 138Th St
City
State
Zip
10030-2102
Phone Number
212-694-2392
Fax Number
212-694-4020
person
Provider Business Mailing Address Details
Address
241 W 138Th St
City
State
Zip
10030-2102
Phone Number
212-694-2392
Fax Number
212-694-4020
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
NOO4658 (New York)
Definition
Definition to come...
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