Carlson Podiatric Care Pllc

NPI #1528571627 in Williston Park, New York

Provider Information

NPI Number: 1528571627
Entity Type: Organization
Organization Name: Carlson Podiatric Care Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: CARLSON PODIATRIC CARE PLLC
Primary Specialty: Podiatrist
Enumeration Date: Nov 10, 2017
Last Updated: Nov 10, 2017

Practice Location

Address: 637 WILLIS AVE STE E
City: Williston Park
State: New York
ZIP Code: 11596-1161
Phone: (516) 248-8188

Authorized Official

Name: DR. MARY LEE JENSIS-CARLSON, DPM
Title: PODIATRIST
Phone: (516) 248-8188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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