Organization
NORTH ROCKLAND PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER COSTA (PRESIDENT)
(845) 429-0520
Entity
Organization
Contact information
Practice address
7 LIBERTY SQUARE MALL, STONY POINT, NY 10980-2400
(845) 429-0520
(845) 429-0603
Mailing address
7 LIBERTY SQUARE MALL, STONY POINT, NY 10980-2400
(845) 429-0520
(845) 429-0630
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N3910-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00901804
—
NY
01
—
P41041
EMPIRE BCBS
NY
Enumeration date
08/23/2010
Last updated
12/27/2024
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