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Organization
AVENUE U PODIATRY,P.C.
Active
Organization
AVENUE U PODIATRY,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GREGG MARCESE DPM (OWNER)
(718) 996-8420
Entity
Organization
Contact information
Practice address
164 AVENUE U, BROOKLYN, NY 11223-3740
(718) 996-8420
(718) 714-6787
Mailing address
164 AVENUE U, BROOKLYN, NY 11223-3740
(718) 996-8420
(718) 714-6787
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01127577
—
NY
01
—
480026837
RAILROAD MEDICARE
NY
Enumeration date
09/05/2006
Last updated
07/26/2008
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