Organization
DYKER PARK FOOTCARE, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PASQUALE MICHAEL DESANTO DPM (PODIATRIST)
(718) 745-6220
Entity
Organization
Contact information
Practice address
8404 13TH AVE, BROOKLYN, NY 11228-3302
(718) 745-6220
(718) 745-6229
Mailing address
8404 13TH AVE, BROOKLYN, NY 11228-3302
(718) 745-6220
(718) 745-6229
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006056
NY
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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