Organization
DR. MICHAEL WOOSTER, DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F WOOSTER DPM (PRESIDENT)
(516) 420-1832
Entity
Organization
Contact information
Practice address
826 MAIN ST, FARMINGDALE, NY 11735-4152
(516) 420-1832
Mailing address
826 MAIN ST, FARMINGDALE, NY 11735-4152
(516) 420-1832
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N004520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01176594
—
NY
01
—
6473070001
MEDICARE DMERC PTAN
NY
Enumeration date
09/03/2008
Last updated
01/31/2011
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