Organization
BEVERLY ROAD PODIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH FACTOR (D.P.M.)
(347) 357-8445
Entity
Organization
Contact information
Practice address
595 FLATBUSH AVE, BROOKLYN, NY 11225-4903
(718) 675-1100
Mailing address
595 FLATBUSH AVE, BROOKLYN, NY 11225-4903
(718) 675-1100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
003728
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003728
LICENSE
NY
Enumeration date
08/04/2014
Last updated
03/17/2018
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