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Organization
MIDDLE VILLAGE PODIATRY, PC
Active
Organization
MIDDLE VILLAGE PODIATRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN M AGLIETTI D.P.M. (PRESIDENT)
(718) 497-3000
Entity
Organization
Contact information
Practice address
6412 FRESH POND RD, RIDGEWOOD, NY 11385-3331
(718) 497-3000
(718) 497-3335
Mailing address
6412 FRESH POND RD, RIDGEWOOD, NY 11385-3331
(718) 497-3000
(718) 497-3335
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01554136
—
NY
01
—
1376541672
NPI
—
01
—
480026853
MC RR
NY
Enumeration date
05/24/2007
Last updated
11/10/2011
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