Provider Demographics
NPI:1871616912
Name:BELL, IRA R (DPM)
Entity type:Individual
Prefix:DR
First Name:IRA
Middle Name:R
Last Name:BELL
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:16215 HIGHLAND AVE
Mailing Address - Street 2:#1D
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3452
Mailing Address - Country:US
Mailing Address - Phone:718-658-9383
Mailing Address - Fax:718-658-9385
Practice Address - Street 1:16215 HIGHLAND AVE
Practice Address - Street 2:#1D
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3452
Practice Address - Country:US
Practice Address - Phone:718-658-9383
Practice Address - Fax:718-658-9385
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYN003887-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY003887Medicare ID - Type UnspecifiedGHI MEDICARE
NYP4150Medicare ID - Type UnspecifiedEMPIRE MEDICARE
NYT32095Medicare UPIN