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Organization
PELHAM PODIATRY GROUP PC
Active
Organization
PELHAM PODIATRY GROUP PC
Active
Other names
Advanced Foot Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG PRESTON HERMAN DPM (OWNER)
(718) 409-2121
Entity
Organization
Contact information
Practice address
1015 MORRIS PARK AVENUE, BRONX, NY 10462
(718) 409-2121
(718) 863-3666
Mailing address
1015 MORRIS PARK AVENUE, BRONX, NY 10462
(718) 409-2121
(718) 863-3666
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005627
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N005627
NY
213ES0131X
Foot Surgery Podiatrist
N005627
NY
Other
Enumeration date
01/25/2007
Last updated
05/24/2010
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