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Organization
KEYSTONE PODIATRY PLLC
Active
Organization
KEYSTONE PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISON BASALILOV DPM (OWNER/PHYSICIAN)
(347) 799-5989
Entity
Organization
Contact information
Practice address
443 LINDEN BLVD, BROOKLYN, NY 11203-2821
(718) 719-7898
(718) 719-7898
Mailing address
10540 63RD AVE, FOREST HILLS, NY 11375-1337
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
07/01/2026
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