# FAMILY FOOTCARE GROUP LLP

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

## Provider details

- **NPI number:** 1952362865
- **Authorized official:** DR. GREGG KEITH ATLAS DPM (PODIATRIST PARTNER)
- **Authorized official phone:** (845) 794-7741

## Contact information

- **Practice address:** 427 BROADWAY, SUITE \#2, MONTICELLO, NY 12701-1742
- **Practice address phone:** (845) 794-7741
- **Practice address fax:** (845) 794-0228
- **Mailing address:** 427 BROADWAY, SUITE \#2, MONTICELLO, NY 12701-1742
- **Mailing address phone:** (845) 794-7741
- **Mailing address fax:** (845) 794-0228

## Taxonomy

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

## Other

- **Enumeration date:** 03/30/2006
- **Last updated:** 11/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01948732 | — | NY |
| 01 | — | 0441090001 | MEDICARE DMERC | NY |