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149th Podiatry Services PLLC

Podiatrist in Bronx, NY. Organization (NPI-2).

NPI number1245687243
StatusActive
Last updated in NPPESMay 19, 2016

Details

NPI
1245687243
Entity type
Organization (NPI-2)
Legal business name
149th Podiatry Services PLLC
Organization subpart
No
Enumeration date
May 19, 2016
Last updated
May 19, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist––Yes

Practice location

421 E 149th St
Bronx, NY 10455-3904

Phone 718-401-3668

Mailing address

421 E 149th St
Bronx, NY 10455-3904

Authorized official

Anto Vincetic
Owner
7184013668

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