Organization
150 STREET CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER JACOB ZAWADA (PRESIDENT)
(718) 767-4100
Entity
Organization
Contact information
Practice address
1257 150TH ST, WHITESTONE, NY 11357-1752
(718) 767-4100
(718) 767-5353
Mailing address
1257 150TH ST, WHITESTONE, NY 11357-1752
(718) 767-4100
(718) 767-5353
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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