Organization
COMPREHENSIVE FOOT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN KEITH COOK D.P.M. (PRESIDENT)
(516) 223-3338
Entity
Organization
Contact information
Practice address
306 NASSAU RD, ROOSEVELT, NY 11575-1342
(516) 223-3338
(516) 223-9349
Mailing address
306 NASSAU RD, ROOSEVELT, NY 11575-1342
(516) 223-3338
(516) 223-9349
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
005172
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01548952
—
NY
01
—
6299193
GHI
NY
Enumeration date
04/03/2007
Last updated
07/16/2007
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