21St Century Footcare Pc in Bay Shore - Foot & Ankle Surgery

21St Century Footcare Pc - NPI 1861564148

21St Century Footcare Pc is a Foot & Ankle Surgery in Bay Shore, New York. 21St Century Footcare Pc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for 21St Century Footcare Pc is 1861564148. The last update date is 2010-06-11.

21St Century Footcare Pc's current location address is 24 Brentwood Rd, Bay Shore, New York. You can contact this provider via phone number 6316668100. The mailing address for 21St Century Footcare Pc is 24 Brentwood Rd, Bay Shore, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization 21St Century Footcare Pc
Address 24 Brentwood Rd, Bay Shore, New York
Phone Number 6316668100
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Darin Juliann
Telephone Number 6316668100

NPI Number Detail

NPI Number 1861564148
Provider Enumeration Date 2006-11-14
Last Updated Date 2010-06-11

Provider Mailing Address Detail

Address 24 Brentwood Rd
City Bay Shore
State New York (NY)
Post Code 117068011
Phone Number 6316668100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No N0034811
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

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FAQs about 21St Century Footcare Pc

What is the unique identifier code issued to 21St Century Footcare Pc by the Centers for Medicare & Medicaid Services?

The 21St Century Footcare Pc has been assigned the NPI (National Provider Identifier) 1861564148. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where 21St Century Footcare Pc's facilities are situated?

The facilities of 21St Century Footcare Pc are physically located at the following address: 24 Brentwood Rd, Bay Shore, NY, 117068011.

What is 21St Century Footcare Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The 21St Century Footcare Pc's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.

On what date did the 21St Century Footcare Pc receive the assignment of its 1861564148 from the Centers for Medicare & Medicaid Services?

The 21St Century Footcare Pc was issued its 1861564148 by the Centers for Medicare & Medicaid Services on 2006-11-14.

When was the information related to 21St Century Footcare Pc most recently updated or refreshed?

The details pertaining to the 21St Century Footcare Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-06-11.

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