# DR. STUART J. MOGUL PODIATRY OBS PC

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

## Provider details

- **NPI number:** 1134395429
- **Authorized official:** DR. STUART J. MOGUL DPM (OWNER)
- **Authorized official phone:** (212) 769-0066

## Contact information

- **Practice address:** 15 W 72ND ST, SUITE 1M, NEW YORK, NY 10023-3402
- **Practice address phone:** (212) 769-0066
- **Mailing address:** 15 W 72ND ST, SUITE 1M, NEW YORK, NY 10023-3402
- **Mailing address phone:** (212) 769-0066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 003587 | NY | Yes |

## Other

- **Enumeration date:** 05/06/2008
- **Last updated:** 05/06/2008