Individual
DR. RONALD F IANNACONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6910 AVENUE U, SUITE LA, BROOKLYN, NY 11234-6129
(718) 968-8080
(718) 968-8088
Mailing address
6910 AVENUE U, SUITE LA, BROOKLYN, NY 11234-6129
(718) 968-8080
(718) 968-8088
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
004104
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01020057
—
NY
Enumeration date
02/09/2006
Last updated
06/11/2010
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