Organization
PIDICH PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY ANN PIDICH DPM (OWNER)
(718) 548-1104
Entity
Organization
Contact information
Practice address
45 W 34TH ST, SUITE 903, NEW YORK, NY 10001-3008
(718) 548-1104
(718) 548-1103
Mailing address
45 W 34TH ST, SUITE 903, NEW YORK, NY 10001-3008
(718) 548-1104
(718) 548-1103
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
006354
NY
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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