Organization
NORTH ISLAND PODIATRY ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LETTMAN (OFFICE MANAGER)
(347) 551-3816
Entity
Organization
Contact information
Practice address
596 PENNSYLVANIA AVE, BROOKLYN, NY 11207-6308
(347) 442-5847
Mailing address
1543 E 96TH ST, BROOKLYN, NY 11236-5303
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05600371
—
NY
Enumeration date
08/27/2019
Last updated
08/27/2019
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