Modern Podiatric Care P.c
NPI #1023299674 in Queens Village, New York
Provider Information
- NPI Number
- 1023299674
- Entity Type
- Organization
- Organization Name
- Modern Podiatric Care P.c
- Primary Specialty
- Podiatrist
- Enumeration Date
- Nov 23, 2007
- Last Updated
- Jan 5, 2009
Practice Location
- Address
- 9204 SPRINGFIELD BLVD
- City
- Queens Village
- State
- New York
- ZIP Code
- 11428-1857
- Phone
- (718) 465-3040
Authorized Official
- Name
- MICHAEL C. NWAKANMA, DPM
- Title
- PHYSICAN
- Phone
- (718) 465-3040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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