Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL CRAIG PENCHUK, DPM
Active Sole ProprietorMICHAEL CRAIG PENCHUK, DPM is a Podiatrist healthcare provider located in MERRICK, New York. NPI 1336232719 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · MERRICK, NY
Registration Details
- NPI Number
- 1336232719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2006 (19.899748732074 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
005080 (NY)25MD00225600 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2125 HOLLAND WAYMERRICK, NY, 115665421Browse NY providers · Browse ZIP 11566
- Phone
- 5167717090
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
Other Podiatrist Providers in MERRICK, NY
| Name | Credential | NPI |
|---|---|---|
| MYLES GROSSMAN | — | 1417950866 |
| DR. LAWRENCE MARK TESSER | DPM | 1053393868 |
| DR. YOLANDA STAHL | DPM | 1861472839 |
| DR. ROBERT A IRWIN | DPM | 1093760753 |
| DR. SCOTT M SCHONFELD | DPM | 1750454831 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.