Organization
KINGS HIGHWAY PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN GOODMAN D.P.M (PODIATRIST)
(718) 376-3077
Entity
Organization
Contact information
Practice address
380 AVENUE U, BROOKLYN, NY 11223-4046
(718) 376-3077
(718) 339-4470
Mailing address
380 AVENUE U, BROOKLYN, NY 11223-4046
(718) 376-3077
(718) 339-4470
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N003926
NY
Other
Enumeration date
12/30/2011
Last updated
02/02/2012
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