Michael Craig Penchuk, DPM

NPI #1336232719 in Merrick, New York

Provider Information

NPI Number: 1336232719
Entity Type: Individual
Name: Michael Craig Penchuk, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Sep 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2125 HOLLAND WAY
City: Merrick
State: New York
ZIP Code: 11566-5421
Phone: (516) 771-7090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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