# ROCKAWAY PARK FOOT CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740468842
- **Authorized official:** LISAMARIE GUIDICE DPM (DOCTOR)
- **Authorized official phone:** (718) 318-2811

## Contact information

- **Practice address:** 230 BEACH 102ND ST STE 3B, ROCKAWAY PARK, NY 11694
- **Practice address phone:** (718) 318-2811
- **Practice address fax:** (718) 318-7689
- **Mailing address:** 230 BEACH 102ND ST STE 3B, ROCKAWAY PARK, NY 11694-2871
- **Mailing address phone:** (718) 318-2811
- **Mailing address fax:** (718) 318-7689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N005314 | NY | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 07/30/2018
