Marc J Federbusch Dpm

NPI #1457510299 in Glendale, New York

Provider Information

NPI Number: 1457510299
Entity Type: Organization
Organization Name: Marc J Federbusch Dpm
Primary Specialty: Podiatrist
Enumeration Date: Jun 6, 2008
Last Updated: Feb 23, 2009

Practice Location

Address: 6534 MYRTLE AVE
City: Glendale
State: New York
ZIP Code: 11385-6212
Phone: (718) 366-3338

Authorized Official

Name: DR. MARC JEFFREY FEDERBUSCH, DPM
Title: OWNER
Phone: (718) 366-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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