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Organization

ELITE FOOT CARE NYNJ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL GENKIN DPM (PRESIDENT)
(718) 218-4075
Entity
Organization

Contact information

Practice address
75 WALL ST, SUITE 19G, NEW YORK, NY 10005-2833
(718) 218-4075
Mailing address
11 GRANT AVE, EAST HANOVER, NJ 07936-2950
(718) 218-4075

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00321600
NJ

Other

Enumeration date
12/24/2014
Last updated
12/24/2014
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