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Organization
ADVANCED PODIATRY ASSOCIATES, PLLC
Active
Organization
ADVANCED PODIATRY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI L MONCKTON (OFFICE MANAGER)
(585) 343-8150
Entity
Organization
Contact information
Practice address
2 STATE ST, BATAVIA, NY 14020-2132
(585) 343-8150
(585) 343-1768
Mailing address
2 STATE ST, BATAVIA, NY 14020-2132
(585) 343-8150
(585) 343-1768
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
006113
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5507080001
DMERC
NY
01
—
G0186947190
EXCELLUS BC GROUP NUMBER
NY
Enumeration date
10/17/2006
Last updated
08/22/2020
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