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Podiatry Doctor Pc
Ambulatory Surgical Clinic/Center in Jamaica, New York
NPI 1306338371

Podiatry Doctor Pc is an Ambulatory Surgical Clinic/Center based in Jamaica, NY and is specialized in Ambulatory Surgical. Podiatry Doctor Pc practices in Jamaica, NY. The NPI Number for Podiatry Doctor Pc is 1306338371 and holds a License No. 574772 (New York).

The current practice location address for Podiatry Doctor Pc is 16110 Jamaica Ave, Jamaica, NY and can be reached out via phone at 718-618-6528.

Location: 16110 Jamaica Ave, Jamaica, NY, 11432-6139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306338371
Provider Name
Podiatry Doctor Pc
Credential
Provider Entity Type
Organization
Address
16110 Jamaica Ave, Jamaica, NY, 11432-6139
Phone Number
718-618-6528
Fax Number
Provider Enumeration Date
06/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
574772 01 NY THE JOINT COMMISSION
institution
Provider Business Practice Location Address Details
Address
16110 Jamaica Ave
City
Jamaica
State
New York
Zip
11432-6139
Phone Number
718-618-6528
Fax Number
person
Provider Business Mailing Address Details
Address
16110 Jamaica Ave
City
Jamaica
State
New York
Zip
11432-6139
Phone Number
718-618-6528
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
574772 (New York)
Definition
Definition to come...
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