101st Avenue Foot Care PC
Podiatrist in Ozone Park, NY. Organization (NPI-2).
NPI number1407952328
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1407952328
- Entity type
- Organization (NPI-2)
- Legal business name
- 101st Avenue Foot Care PC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2006
- Last updated
- Aug 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
10214 101st AveOzone Park, NY 11416
Phone 718-641-2100 · Fax 718-641-2101
Mailing address
10214 101st AveOzone Park, NY 11416-2622
Phone 718-641-2100 · Fax 718-641-2101
Authorized official
Joseph Micallef
President
7186412100
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