Footcare Podiatry Pc

NPI 1881766137 - Specialist - 174400000X

NPI Details
NPI 1881766137
Enumeration Date 11/14/2006
Last Updated 12/21/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEPHEN J STEPHEN
Position SOLE PROPRIETOR
Phone (212) 289-3388
Fax
Practice Location
309 E 104TH ST
NEW YORK NY, 10029-5514, US
Phone (212) 289-3388
Fax
Business Location
309 E 104TH ST
NEW YORK NY, 10029-5514, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number N005097
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According to our database, Footcare Podiatry Pc NPI is 1881766137, taxonomy code is 174400000X and license number is N005097, license state is located at New York. Footcare Podiatry Pc physically located at 309 E 104th St, New York NY, 10029-5514. NPI Number 1033115704 has the healthcare provider type.

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1881766137 NPI number is provided on an as is basis without warranty of any kind. 1881766137 is maintained by the National Plan & Provider Enumeration System. The contents of Footcare Podiatry Pc are for informational purposes only.