NPI Profile for AFFILIATED FOOT SURGEONS PC in NEW HAVEN, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1760690572 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/18/2007 | |
| Last updated | 12/07/2011 - About 15 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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AFFILIATED FOOT SURGEONS PC
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| AMY T YUNG, DPM 136 SHERMAN AVE NEW HAVEN, CT |
| ELIZA FANTARELLA, DPM 330 ORCHARD ST NEW HAVEN, CT |
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