Organization
COMPLETE FOOT CARE OF THE FINGER LAKES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE Z. O'NEILL D.P.M. (OWNER/SOLE PROPRIETOR)
(315) 331-5059
Entity
Organization
Contact information
Practice address
165 WEST SHORE BLVD, NEWARK, NY 14513-1050
(315) 331-5059
(315) 331-5482
Mailing address
165 WEST SHORE BLVD, NEWARK, NY 14513-1050
(315) 331-5059
(315) 331-5482
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NOO5548
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01955462
—
NY
01
—
106106EQ
PREFERRED CARE
NY
Enumeration date
09/19/2008
Last updated
04/30/2010
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