Advanced Podiatric Footcare
Clinic/Center, Podiatric in Queens Village, NY. Organization (NPI-2).
NPI number1114243201
StatusActive
Last updated in NPPESNov 19, 2011
Details
- NPI
- 1114243201
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Podiatric Footcare
- Organization subpart
- No
- Enumeration date
- Apr 14, 2010
- Last updated
- Nov 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP1100X | Clinic/Center, Podiatric | – | – | Yes |
Practice location
21884 Hempstead AveQueens Village, NY 11429-2166
Phone 718-736-6162 · Fax 718-468-2047
Mailing address
218-84 Hempstead AveQueens Village, NY 11429-2166
Phone 718-736-6162 · Fax 718-468-2047
Authorized official
Nelly Ducrepin
Physician
9176856441
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