Organization
ASTORIA ADVANCED FOOTCARE
Active
Other names
Grand Central Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER A. HANS DPM (PRESIDENT)
(718) 545-3338
Entity
Organization
Contact information
Practice address
501 5TH AVE, SUITE#1108, NEW YORK, NY 10017-6107
(212) 682-3338
(212) 682-3335
Mailing address
501 5TH AVE, SUITE#1108, NEW YORK, NY 10017-6107
(212) 682-3338
(212) 682-3335
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004560
NY
Other
Enumeration date
01/23/2009
Last updated
01/04/2010
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