Organization
ASSOCIATED FOOT & ANKLE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY G HERSTIK D.P.M (DOCTOR)
(201) 816-8778
Entity
Organization
Contact information
Practice address
370 GRAND AVE, SUITE 101, ENGLEWOOD, NJ 07631-4154
(201) 816-8778
(201) 816-9009
Mailing address
370 GRAND AVE, SUITE 101, ENGLEWOOD, NJ 07631-4154
(201) 816-8778
(201) 816-9009
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD2186
NJ
213ES0131X
Foot Surgery Podiatrist
N004973
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01716361
—
NY
05
—
7994702
—
NJ
Enumeration date
06/11/2006
Last updated
11/12/2013
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