MARY JENSIS-CARLSON D P M NPI 1508002783

NPI Information

MARY JENSIS-CARLSON D P M is a foot surgery podiatrist in Williston Park, NY. MARY JENSIS-CARLSON D P M NPI is 1508002783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

637 WILLIS AVE
SUITE D
WILLISTON PARK, NY
ZIP 11596-154
Phone: (516) 248-8188
Fax: (516) 279-4610

The provider's authorized official is Mary L Jensis-carlson .
The authorized official title is Owner and has the following contact phone number (516) 248-8188.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 3/17/2009.

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:

Other Identifiers

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