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Organization
COMPLETE FOOT CARE OF THE FINGER LAKES, PLLC
Active
Organization
COMPLETE FOOT CARE OF THE FINGER LAKES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE Z. O'NEILL D.P.M. (OWNER/SOLE PROPRIETOR)
(315) 331-5059
Entity
Organization
Contact information
Practice address
165 WEST SHORE BLVD, NEWARK, NY 14513-1050
(315) 331-5059
(315) 331-5482
Mailing address
165 WEST SHORE BLVD, NEWARK, NY 14513-1050
(315) 331-5059
(315) 331-5482
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NOO5548
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01955462
—
NY
01
—
106106EQ
PREFERRED CARE
NY
Enumeration date
09/19/2008
Last updated
04/30/2010
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