Organization
PEDICURIA COSMETIC PODIATRY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIZNOLA CHARLOT DPM (SOLE PROPRIETOR)
(516) 410-4364
Entity
Organization
Contact information
Practice address
135 N 9TH ST, BROOKLYN, NY 11249-1821
(718) 304-6272
Mailing address
78 PROSPECT PARK W APT 6C, BROOKLYN, NY 11215-3025
(516) 410-4364
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005933
NY
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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