Organization
THE FOOT DOCTOR, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S GMEREK DPM (PODIATRIST/ OWNER)
(585) 226-9340
Entity
Organization
Contact information
Practice address
102 GENESEE ST, AVON, NY 14414-1222
(585) 226-9340
(585) 235-1051
Mailing address
1655 ELMWOOD AVE, SUITE 205, ROCHESTER, NY 14620-3429
(585) 226-9340
(585) 235-1051
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000924073002
BC/BS WESTERN NY
NY
05
—
02146569
—
NY
01
—
G0184705620
FINGER LAKES
NY
01
—
MDH352
PREFERRED CARE
NY
01
—
P00074369
MEDICARE RAILROAD
NY
Enumeration date
10/10/2006
Last updated
02/14/2008
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