# MBIP PODIATRY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forward Foot & Ankle Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992426969
- **Authorized official:** DR. MINA BASKHRON DPM, FACFAS, FACPM (PODIATRIST - FOOT & ANKLE SURGERY)
- **Authorized official phone:** (718) 317-5215

## Contact information

- **Practice address:** 1042 HUGUENOT AVE, STATEN ISLAND, NY 10312-4315
- **Practice address phone:** (718) 317-5215
- **Practice address fax:** (718) 317-5212
- **Mailing address:** 1042 HUGUENOT AVE, STATEN ISLAND, NY 10312-4315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 09/08/2022
- **Last updated:** 09/08/2022