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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

NPI # 1407952328
LBN Legal business name 101ST AVENUE FOOT CARE PC
Authorized official JOSEPH MICALLEF - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2006
Last updated 08/23/2018 - About 8 years ago
Identifiers
NY Other 00240G GHI MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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