Green Mountain Family Podiatry Pc

NPI 1407909039 - Podiatrist - 213ES0103X

NPI Details
NPI 1407909039
Enumeration Date 01/18/2007
Last Updated 07/12/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOSE GUILLERMO JOSE
Position OWNER-PRESIDENT
Phone (518) 499-9264
Fax (518) 499-9247
Practice Location
212 BROADWAY
WHITEHALL NY, 12887-1639, US
Phone (518) 499-9264
Fax (518) 499-9247
Business Location
212 BROADWAY
WHITEHALL NY, 12887-1639, US
Phone (518) 499-9264
Fax (518) 499-9247
Toxanomy
Taxonomy Code 213ES0103X
License State New York
License Number 003568
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According to our database, Green Mountain Family Podiatry Pc NPI is 1407909039, taxonomy code is 213ES0103X and license number is 003568, license state is located at New York. Green Mountain Family Podiatry Pc physically located at 212 Broadway, Whitehall NY, 12887-1639. NPI Number 1033115704 has the healthcare provider type.

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1407909039 NPI number is provided on an as is basis without warranty of any kind. 1407909039 is maintained by the National Plan & Provider Enumeration System. The contents of Green Mountain Family Podiatry Pc are for informational purposes only.