IDEAL FOOT CARE PC NPI 1255754917

NPI Information

  • NPI: 1255754917
  • Provider Name: IDEAL FOOT CARE PC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 3116 30TH AVE
    SUITE 203
    ASTORIA, NY
    ZIP 11102
  • Phone: (718) 545-3338

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NPI Details

IDEAL FOOT CARE PC is a foot and ankle surgery podiatrist in Astoria, NY. IDEAL FOOT CARE PC NPI is 1255754917. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3116 30TH AVE
SUITE 203
ASTORIA, NY
ZIP 11102-571
Phone: (718) 545-3338
Fax: (718) 626-3034

The provider's authorized official is Albert Samandarov .
The authorized official title is Podiatrist and has the following contact phone number (718) 545-3338.

The enumeration date for this NPI number is 1/30/2014 and was last updated on 3/3/2021.

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
1213ES0103XPodiatristFoot & Ankle Surgery006526NEW YORKYes

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: 11/21/2025

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