Organization
ADVANCED FOOT CARE OF LONG ISLANCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ROSENBERG DPM (PODIATRIST-PRESIDENT)
(516) 295-0825
Entity
Organization
Contact information
Practice address
821 WOODMERE CT, SU 1C, WOODMERE, NY 11598-2552
(516) 295-0825
(516) 295-0825
Mailing address
821 WOODMERE CT, SU 1C, WOODMERE, NY 11598-2552
(516) 295-0825
(516) 295-0825
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NOO4792-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01302785
—
NY
01
—
1042323
UNITED HEALTH CARE
NY
01
—
1C6729
HEALTH NET
NY
01
—
4950990001
DME MEDICARE
NY
01
—
59872
VYTRA HEALTH PLANS
NY
01
—
6200506
GHI
NY
01
—
9131217
CIGNA
NY
Enumeration date
03/08/2007
Last updated
07/21/2007
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