Individual provider · Type 1 NPI
Keith Bortniker, D.P.M.
Foot Surgery Podiatrist · West Nyack, NY
NPI number
1508116823
Active
Practice location
2 Crosfield Ave Ste 302
West Nyack, NY 10994-2218
Fax (845) 358-0528
Mailing address
59 S Constitution Dr
Tappan, NY 10983-1622
Other practice locations
- 600 E 233rd St, Bronx, NY 10466-2604 · (718) 920-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Foot Surgery Podiatrist Primary | 213ES0131X | NY-N006715-1 (NY) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1508116823
Keith Bortniker, D.P.M.'s National Provider Identifier is 1508116823, issued on Sep 13, 2012. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in West Nyack, NY. The record was last updated on Aug 17, 2018.