Organization · NPI-2

All Borough Podiatry PC

Podiatrist · Staten Island, NY

NPI number1780323113
StatusActive
Last updated in NPPESFeb 26, 2024

Details

NPI
1780323113
Entity type
Organization (NPI-2)
Legal business name
All Borough Podiatry PC
Organization subpart
No
Enumeration date
Jun 2, 2022
Certification date
Feb 26, 2024
Last updated
Feb 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist––Yes
213EP0504X Podiatrist, Public Medicine––
213ES0000X Podiatrist, Sports Medicine––
213ES0103X Podiatrist, Foot & Ankle Surgery––
213ES0131X ––

Practice location

796 Castleton Ave
Staten Island, NY 10310-1800

Phone 347-943-7766

Mailing address

2685 Pitkin Ave
Brooklyn, NY 11208-3892

Phone 347-943-7766 · Fax 516-299-6316

Other practice locations

531 Targee St
Staten Island, NY 10304-3501

Phone 646-837-5448 · Fax 718-554-7788

Authorized official

M Nayeem
Manager
3479437766

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