Organization
EMPIRE FOOTCARE & SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN E FANNO (PRESIDENT)
(917) 960-4023
Entity
Organization
Contact information
Practice address
6406 FLEET ST, FLUSHING, NY 11374-5243
(917) 960-4023
(122) 503-3555
Mailing address
6406 FLEET ST, FLUSHING, NY 11374-5243
(917) 960-4023
(212) 503-3555
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0060041
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02637290
—
NY
Enumeration date
09/06/2006
Last updated
10/07/2021
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