University Physicians Group Pc

NPI 1386813624 - Podiatrist - 213EP1101X

NPI Details
NPI 1386813624
Enumeration Date 02/20/2008
Last Updated 02/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THEODORE THEODORE
Position SECRETARY/TREASURER
Phone (718) 979-9333
Fax (718) 980-0408
Practice Location
65 ROSE AVE
STATEN ISLAND NY, 10306-2246, US
Phone (718) 979-9333
Fax (718) 980-0408
Business Location
65 ROSE AVENUE
STATEN ISLAND NY, 10306-2246, US
Phone (718) 979-9333
Fax (718) 980-0408
Toxanomy
Taxonomy Code 213EP1101X
License State New York
License Number N005325
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According to our database, University Physicians Group Pc NPI is 1386813624, taxonomy code is 213EP1101X and license number is N005325, license state is located at New York. University Physicians Group Pc physically located at 65 Rose Ave, Staten Island NY, 10306-2246. NPI Number 1033115704 has the healthcare provider type.

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1386813624 NPI number is provided on an as is basis without warranty of any kind. 1386813624 is maintained by the National Plan & Provider Enumeration System. The contents of University Physicians Group Pc are for informational purposes only.