Organization
ACTIVE PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WIQAR FAROOQI (DPM)
(516) 286-9853
Entity
Organization
Contact information
Practice address
149 MARINE AVE APT LA, BROOKLYN, NY 11209-7712
(718) 883-8844
Mailing address
149 MARINE AVE APT LA, BROOKLYN, NY 11209-7712
(718) 883-8844
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/12/2017
Last updated
02/05/2018
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