institution
Green Mountain Family Podiatry Pc
Foot & Ankle Surgery Podiatrist in Whitehall, New York
NPI 1407909039

Green Mountain Family Podiatry Pc is a Foot & Ankle Surgery Podiatrist based in Whitehall, NY and is specialized in Foot & Ankle Surgery. Green Mountain Family Podiatry Pc practices in Whitehall, NY. The NPI Number for Green Mountain Family Podiatry Pc is 1407909039 and holds a License No. 003568 (New York).

The current practice location address for Green Mountain Family Podiatry Pc is 212 Broadway, Whitehall, NY and can be reached out via phone at 518-499-9264 and via fax at 518-499-9247.

Location: 212 Broadway, Whitehall, NY, 12887-1639
institution
Provider Profile Details
NPI Number
1407909039
Provider Name
Green Mountain Family Podiatry Pc
Credential
Provider Entity Type
Organization
Address
212 Broadway, Whitehall, NY, 12887-1639
Phone Number
518-499-9264
Fax Number
518-499-9247
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000470542001 01 NY BLUESHIELD HEALTHNOW
9659860-99 01 NY GHI
041210000033 01 NY FIDELIS
P3899 01 NY EMPIRE BLUE CROSS
00028868 01 VT BCBS VERMONT
1005566 01 VT VERMONT MEDICAID
00810586 05 NY
59591 01 NY MVP HEALTH CARE
PAW48 01 NY EMPIRE BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
212 Broadway
City
State
Zip
12887-1639
Phone Number
518-499-9264
Fax Number
518-499-9247
person
Provider Business Mailing Address Details
Address
212 Broadway
City
State
Zip
12887-1639
Phone Number
518-499-9264
Fax Number
518-499-9247
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
003568 (New York)
Definition
Definition to come...
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