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Organization

FOOT & ANKLE ORTHOPEDIC PC

Active
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Organization

FOOT & ANKLE ORTHOPEDIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATHEW JAMES (BILLING MANAGER)
(631) 827-8159
Entity
Organization

Contact information

Practice address
43 ROBBINS DR, E WILLISTON, NY 11596-2009
(631) 827-8159
Mailing address
43 ROBBINS DR, E WILLISTON, NY 11596-2009

Taxonomy

Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
NULL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—

Other

Enumeration date
09/12/2016
Last updated
09/12/2016
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