Organization
GREATER QUEENS PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS MEGDANIS M.D. (PHYSICIAN)
(718) 463-1515
Entity
Organization
Contact information
Practice address
4343 KISSENA BLVD #110, FLUSHING, NY 11355-2914
(718) 463-1515
(718) 886-6414
Mailing address
4343 KISSENA BLVD #110, FLUSHING, NY 11355-2914
(718) 463-1515
(718) 886-6414
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01049958
—
NY
Enumeration date
05/21/2007
Last updated
03/28/2008
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