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Contact Information

101ST AVENUE FOOT CARE PC
10214 101ST AVE
OZONE PARK, NY11416
 Phone: 718-641-2100
 Fax: 718-641-2101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for 101ST AVENUE FOOT CARE PC · (Female)

NPI # 1407952328
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2006
Last updated 08/23/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY Other 00240G GHI MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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