is a Primary Podiatric Medicine in Lynbrook, New York. practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for is 1811154834. The last update date is .
's current location address is 263 Broadway, Lynbrook, New York. You can contact this provider via phone number 5166193338 and fax number 5166190202. The mailing address for is 263 Broadway, Lynbrook, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 263 Broadway, Lynbrook, New York |
| Phone Number | 5166193338 |
| Fax Number | 5166190202 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1811154834 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 263 Broadway |
|---|---|
| City | Lynbrook |
| State | New York (NY) |
| Post Code | 115633243 |
| Phone Number | 5166193338 |
| Fax Number | 5166190202 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | N004919 |
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Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
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