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ASTORIA ADVANCED FOOTCARE NPI 1265670640


NPI Information

NPI: 1265670640
Provider Name: ASTORIA ADVANCED FOOTCARE

Doing Business As: GRAND CENTRAL PODIATRY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
501 5TH AVE
SUITE#1108
NEW YORK, NY
ZIP 10017
Phone: (212) 682-3338
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ASTORIA ADVANCED FOOTCARE is a foot and ankle surgery podiatrist in New York, NY. ASTORIA ADVANCED FOOTCARE NPI is 1265670640. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grand Central Podiatry.

The provider's business location address is:

501 5TH AVE
SUITE#1108
NEW YORK, NY
ZIP 10017-107
Phone: (212) 682-3338
Fax: (212) 682-3335

The provider's authorized official is Roger A. Hans .
The authorized official title is President and has the following contact phone number (718) 545-3338.

The enumeration date for this NPI number is 1/23/2009 and was last updated on 1/4/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryN004560NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U35604MEDICARE UPINNEW 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: 11/14/2023

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