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Organization
ADVANCED FOOT CARE OF LONG ISLANCE, P.C.
Active
Organization
ADVANCED FOOT CARE OF LONG ISLANCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ROSENBERG DPM (PODIATRIST-PRESIDENT)
(516) 295-0825
Entity
Organization
Contact information
Practice address
821 WOODMERE CT, SU 1C, WOODMERE, NY 11598-2552
(516) 295-0825
(516) 295-0825
Mailing address
821 WOODMERE CT, SU 1C, WOODMERE, NY 11598-2552
(516) 295-0825
(516) 295-0825
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NOO4792-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01302785
—
NY
01
—
1042323
UNITED HEALTH CARE
NY
01
—
1C6729
HEALTH NET
NY
01
—
4950990001
DME MEDICARE
NY
01
—
59872
VYTRA HEALTH PLANS
NY
01
—
6200506
GHI
NY
01
—
9131217
CIGNA
NY
Enumeration date
03/08/2007
Last updated
07/21/2007
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