101st Avenue Foot Care PC

NPI #1407952328 in Ozone Park, New York

Provider Information

NPI Number: 1407952328
Entity Type: Organization
Organization Name: 101st Avenue Foot Care PC
Primary Specialty: Podiatrist
Enumeration Date: Sep 16, 2006
Last Updated: Aug 23, 2018

Practice Location

Address: 10214 101ST AVE
City: Ozone Park
State: New York
ZIP Code: 11416
Phone: (718) 641-2100

Authorized Official

Name: JOSEPH MICALLEF
Title: PRESIDENT
Phone: (718) 641-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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