Advanced Podiatric Footcare
NPI #1114243201 in Queens Village, New York
Provider Information
- NPI Number
- 1114243201
- Entity Type
- Organization
- Organization Name
- Advanced Podiatric Footcare
- Primary Specialty
- Clinic/Center - Podiatric
- Enumeration Date
- Apr 14, 2010
- Last Updated
- Nov 19, 2011
Practice Location
- Address
- 21884 HEMPSTEAD AVE
- City
- Queens Village
- State
- New York
- ZIP Code
- 11429-2166
- Phone
- (718) 736-6162
Authorized Official
- Name
- NELLY DUCREPIN, D.P.M.
- Title
- PHYSICIAN
- Phone
- (917) 685-6441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Podiatric — Podiatric |
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