Organization
QUEENS CORPORATE FOOT CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN B HURT DPM (PODIATRIC SPECIALIST)
(718) 776-7232
Entity
Organization
Contact information
Practice address
221-10 JAMAICA AVE, SUITE 104, QUEENS VILLAGE, NY 11428-2037
(718) 776-7232
(718) 776-7418
Mailing address
221-10 JAMAICA AVE, SUITE 104, QUEENS VILLAGE, NY 11428-2037
(718) 776-7232
(718) 776-7418
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
N005136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016455697
—
NY
01
—
486204001
DME
—
Enumeration date
03/27/2008
Last updated
03/15/2010
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