FOOT AND ANKLE CENTER OF FORT LEE PODIATRY NPI 1285051797

NPI Information

FOOT AND ANKLE CENTER OF FORT LEE PODIATRY is a foot and ankle surgery podiatrist in Flushing, NY. FOOT AND ANKLE CENTER OF FORT LEE PODIATRY NPI is 1285051797. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Foot And Ankle Center Of Fort Lee, Llc.

The provider's business location address is:

14402 JEWEL AVE
SUITE A
FLUSHING, NY
ZIP 11367-744
Phone: (718) 263-3668
Fax: (718) 263-0028

The provider's authorized official is Gavriil Khaimov .
The authorized official title is President and has the following contact phone number (201) 363-9844.

The enumeration date for this NPI number is 3/21/2014 and was last updated on 3/21/2014.

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:

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