Terry Robertson Dpm LLC
Podiatrist, Foot & Ankle Surgery in New York, NY. Organization (NPI-2).
NPI number1366973232
StatusActive
Last updated in NPPESMar 22, 2017
Details
- NPI
- 1366973232
- Entity type
- Organization (NPI-2)
- Legal business name
- Terry Robertson Dpm LLC
- Organization subpart
- No
- Enumeration date
- Mar 22, 2017
- Last updated
- Mar 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 006682 | NY | Yes |
Practice location
315 E 86th StSte 1ge
New York, NY 10028-4714
Phone 212-369-9494
Mailing address
315 E 86th StSte 1ge
New York, NY 10028-4714
Phone 212-369-9494
Authorized official
Terry Leroy Robertson
President
2123699494
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