Organization
FAMILY FOOTCARE GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC J HUDES D.P.M. (MANAGING PARTNER)
(845) 794-7741
Entity
Organization
Contact information
Practice address
156 PIKE ST, PORT JERVIS, NY 12771-1808
(845) 856-7700
(845) 794-0228
Mailing address
427 BROADWAY, STE 2, MONTICELLO, NY 12701-1742
(845) 794-7741
(845) 794-0228
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0441090001
MEDICARE DMERC
NY
Enumeration date
10/09/2007
Last updated
11/09/2007
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