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Organization

JOHN J ZISA

Active
Other names
CONSERVATIVE FOOT CARE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN JOSEPH ZISA D.P.M. (OWNER)
(212) 288-0080
Entity
Organization

Contact information

Practice address
34 E 67TH ST, NEW YORK, NY 10065-6119
(212) 288-0080
(212) 288-3721
Mailing address
34 E 67TH ST, NEW YORK, NY 10065-6119
(212) 288-0080

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
003458
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0088694
GHI
NY
01
BS668
OXFORD
NJ
01
F15937
HEALTHNET
NJ
01
P481831
OXFORD
NY
Enumeration date
03/01/2007
Last updated
02/04/2008
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