COMPREHENSIVE FOOT CARE PLLC NPI 1043332026

NPI Information

NPI: 1043332026
Provider Name: COMPREHENSIVE FOOT CARE PLLC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
306 NASSAU RD
ROOSEVELT, NY
ZIP 11575
Phone: (516) 223-3338
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COMPREHENSIVE FOOT CARE PLLC is a foot and ankle surgery podiatrist in Roosevelt, NY. COMPREHENSIVE FOOT CARE PLLC NPI is 1043332026. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

306 NASSAU RD
ROOSEVELT, NY
ZIP 11575-342
Phone: (516) 223-3338
Fax: (516) 223-9349

The provider's authorized official is Ian Keith Cook .
The authorized official title is President and has the following contact phone number (516) 223-3338.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 7/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	005172	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01548952	MEDICAID	NEW YORK
2	P64771	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	6299193	OTHER	NEW YORK	GHI
4	U51504	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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