Glenwood Podiatry PC

NPI #1972938512 in Glendale, New York

Provider Information

NPI Number: 1972938512
Entity Type: Organization
Organization Name: Glenwood Podiatry PC
Primary Specialty: Podiatrist
Enumeration Date: Sep 12, 2013
Last Updated: Nov 7, 2013

Practice Location

Address: 6216 MYRTLE AVE
City: Glendale
State: New York
ZIP Code: 11385-6236
Phone: (718) 821-2161

Authorized Official

Name: DR. JEFFREY H STARK, D.P.M.
Title: PRESIDENT
Phone: (718) 821-2161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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