# AVENUE U PODIATRY,P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053414300
- **Authorized official:** DR. CHARLES GREGG MARCESE DPM (OWNER)
- **Authorized official phone:** (718) 996-8420

## Contact information

- **Practice address:** 164 AVENUE U, BROOKLYN, NY 11223-3740
- **Practice address phone:** (718) 996-8420
- **Practice address fax:** (718) 714-6787
- **Mailing address:** 164 AVENUE U, BROOKLYN, NY 11223-3740
- **Mailing address phone:** (718) 996-8420
- **Mailing address fax:** (718) 714-6787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N004476 | NY | Yes |

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 07/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01127577 | — | NY |
| 01 | — | 480026837 | RAILROAD MEDICARE | NY |