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Organization
FOOTCARE SERVICES OF LIC
Active
Organization
FOOTCARE SERVICES OF LIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH WEBER JR. DPM (PODIATRIST)
(516) 379-8935
Entity
Organization
Contact information
Practice address
70 GLEN ST, SUITE 380, GLEN COVE, NY 11542-2855
(516) 759-2424
(516) 759-6627
Mailing address
1684 WEBSTER AVE, MERRICK, NY 11566-2667
(516) 379-8935
(516) 759-6627
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
004438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56848
GHI-CBP
NY
Enumeration date
05/10/2007
Last updated
08/22/2020
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