1795 Coney Island Podiatry PC
Podiatrist in Brooklyn, NY. Organization (NPI-2).
NPI number1205133592
StatusActive
Last updated in NPPESFeb 23, 2011
Details
- NPI
- 1205133592
- Entity type
- Organization (NPI-2)
- Legal business name
- 1795 Coney Island Podiatry PC
- Organization subpart
- No
- Enumeration date
- Feb 22, 2011
- Last updated
- Feb 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
1795 Coney Island AveBrooklyn, NY 11230-6557
Phone 718-645-6705 · Fax 718-645-6707
Mailing address
1795 Coney Island AveBrooklyn, NY 11230-6557
Phone 718-645-6705 · Fax 718-645-6707
Authorized official
Nechama V Muchnik
Medical Director
7186456705
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