person
Dr. Susheel Bathla, DPM
Primary Podiatric Medicine Podiatrist in Staten Island, New York
NPI 1871596387

Susheel Bathla is a Primary Podiatric Medicine Podiatrist based in Watchung, NY and is specialized in Primary Podiatric Medicine. Susheel Bathla practices in Staten Island, NY and has the professional credentials of DPM. The NPI Number for Susheel Bathla is 1871596387 and holds a License No. N005417 (New York).

The current practice location address for Susheel Bathla is 364 Edison St, Staten Island, NY and can be reached out via phone at 718-524-4112 and via fax at 718-524-4189. You can also correspond with Susheel Bathla through the mailing address at 172 DEER RUN, WATCHUNG, NJ - 07069-6222 (mailing address contact number: 718-524-4112).

Location: 364 Edison St, Staten Island, NY, 07069-6222
person
Provider Profile Details
NPI Number
1871596387
Provider Name
Susheel Bathla
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
364 Edison St, Staten Island, NY, 07069-6222
Phone Number
718-524-4112
Fax Number
718-524-4189
Provider Enumeration Date
05/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01918189 05 NY
institution
Provider Business Practice Location Address Details
Address
364 Edison St
City
State
Zip
10306-3041
Phone Number
718-524-4112
Fax Number
718-524-4189
person
Provider Business Mailing Address Details
Address
172 Deer Run
City
State
Zip
07069-6222
Phone Number
718-524-4112
Fax Number
718-524-4189
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
N005417 (New York)
Definition
Definition to come...
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