Organization
ALL COUNTY PODIATRY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIANNI PERSICH DPM (PRESIDENT)
(718) 261-5999
Entity
Organization
Contact information
Practice address
4207 30TH AVE, ASTORIA, NY 11103-2910
(718) 261-5999
Mailing address
PO BOX 422, OLD WESTBURY, NY 11568-0422
(718) 261-5999
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
004789
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01360874
—
NY
Enumeration date
11/06/2007
Last updated
11/06/2007
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