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Organization
CONEY ISLAND PODIATRY CARE P.C.
Active
Organization
CONEY ISLAND PODIATRY CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN J. DONOVAN DPM (PRESIDENT)
(718) 769-8400
Entity
Organization
Contact information
Practice address
2753 CONEY ISLAND AVE, BROOKLYN, NY 11235-5015
(718) 769-8400
(718) 769-3255
Mailing address
2753 CONEY ISLAND AVE, BROOKLYN, NY 11235-5015
(718) 769-8400
(718) 769-3255
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N003550-1
NY
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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