Organization
STARRETT PODIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOLANDA Y FRIERSON (PRACTICE ADMIN.)
(212) 534-5009
Entity
Organization
Contact information
Practice address
2597 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10030-2105
(212) 510-7160
(212) 510-7161
Mailing address
2597 FREDERICK DOUGLAS BLVD, NEW YORK, NY 10030
(212) 510-7160
(212) 510-7161
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005753
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02277838
—
NY
Enumeration date
09/08/2014
Last updated
09/08/2014
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