Organization
TOBACK PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY G TOBACK PODIATRIST (OWNER)
(845) 691-3654
Entity
Organization
Contact information
Practice address
3433 ROUTE 9W, HIGHLAND, NY 12528-8550
(845) 339-3338
(845) 340-1074
Mailing address
PO BOX 1550, HIGHLAND, NY 12528-8550
(845) 339-3338
(845) 340-1074
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004154-3
NY
Other
Enumeration date
11/13/2006
Last updated
04/30/2009
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