Coram Podiatry Pllc

NPI #1902520810 in Coram, New York

Provider Information

NPI Number
1902520810
Entity Type
Organization
Organization Name
Coram Podiatry Pllc
Primary Specialty
Podiatrist
Enumeration Date
Oct 4, 2022
Last Updated
Oct 4, 2022

Practice Location

Address
100 MIDDLE COUNTRY RD
City
Coram
ZIP Code
11727-4412
Phone
(631) 696-9636

Authorized Official

Name
TAMMY CAMPBELL
Title
CREDENTIALING MANAGER
Phone
(239) 257-7290

Specialties & Taxonomy Codes

Specialty
Podiatrist

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