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Organization
TRI STATE FOOT CARE, P.C
Active
Organization
TRI STATE FOOT CARE, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASILIOS NICHOLAS SPYROPOULOS DPM (OWNER)
86646411065
Entity
Organization
Contact information
Practice address
13 S SHORE DR, SOUTH AMBOY, NJ 08879-3433
(866) 464-1065
(877) 464-1065
Mailing address
9016 ROCKAWAY BEACH BLVD, SUITE B, ROCKAWAY BEACH, NY 11693-1530
(866) 464-1065
(877) 464-1065
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02180183
—
NY
01
—
04678
MEDICARE ID NUMBER
NY
Enumeration date
01/12/2009
Last updated
04/22/2009
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