Organization
PODI PRO PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARGIRIOS MANTZOUKAS DPM (OWNER)
(718) 606-9081
Entity
Organization
Contact information
Practice address
2915 ASTORIA BLVD, ASTORIA, NY 11102-1741
(718) 606-9081
Mailing address
2915 ASTORIA BLVD, ASTORIA, NY 11102-1741
(718) 606-9081
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
006060
NY
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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