ASTORIA ADVANCED FOOTCARE NPI 1518111459

NPI Information

ASTORIA ADVANCED FOOTCARE is a foot and ankle surgery podiatrist in Sunnyside, NY. ASTORIA ADVANCED FOOTCARE NPI is 1518111459. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sunnyside Family Foot Care.

The provider's business location address is:

44-15 43RD AVE
SUITE# C-1
SUNNYSIDE, NY
ZIP 11104
Phone: (718) 784-1767
Fax: (718) 784-2375

The provider's authorized official is Roger Adam 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 11/5/2008 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:

Other Identifiers

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

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