# NORTH BELLMORE FOTCARE P.C

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

## Provider details

- **NPI number:** 1831338649
- **Authorized official:** DR. JUAN GOEZ DPM (PODIATRIC SURGEON)
- **Authorized official phone:** (515) 804-2291

## Contact information

- **Practice address:** 2428 MERRICK RD, BELLMORE, NY 11710-5745
- **Practice address phone:** (516) 804-2291
- **Practice address fax:** (516) 826-5821
- **Mailing address:** 2348 KENNETH AVE, NORTH BELLMORE, NY 11710-3038
- **Mailing address phone:** (516) 804-2291
- **Mailing address fax:** (516) 826-5821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N004890 | NY | Yes |

## Other

- **Enumeration date:** 02/18/2009
- **Last updated:** 02/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | N004890 | — | NY |