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21st Century Footcare Pc
Foot & Ankle Surgery Podiatrist in Bay Shore, New York
NPI 1861564148

21st Century Footcare Pc is a Foot & Ankle Surgery Podiatrist based in Bay Shore, NY and is specialized in Foot & Ankle Surgery. 21st Century Footcare Pc practices in Bay Shore, NY. The NPI Number for 21st Century Footcare Pc is 1861564148 and holds a License No. N0034811 (New York).

The current practice location address for 21st Century Footcare Pc is 24 Brentwood Rd, Bay Shore, NY and can be reached out via phone at 631-666-8100.

Location: 24 Brentwood Rd, Bay Shore, NY, 11706-8011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861564148
Provider Name
21st Century Footcare Pc
Credential
Provider Entity Type
Organization
Address
24 Brentwood Rd, Bay Shore, NY, 11706-8011
Phone Number
631-666-8100
Fax Number
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
24 Brentwood Rd
City
Bay Shore
State
New York
Zip
11706-8011
Phone Number
631-666-8100
Fax Number
person
Provider Business Mailing Address Details
Address
24 Brentwood Rd
City
Bay Shore
State
New York
Zip
11706-8011
Phone Number
631-666-8100
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
N0034811 (New York)
Definition
Definition to come...
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