Organization
COMPREHENSIVE PODIATRIC FOOT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIYA GUMENIK DPM (PRESIDENT)
(718) 806-1434
Entity
Organization
Contact information
Practice address
88-34 161TH STREET, JAMAICA, NY 11432-4040
(718) 674-6222
(718) 228-5272
Mailing address
65-11 BOOTH STREET, SUITE 1C, REGO PARK, NY 11374-4184
(718) 674-6222
(718) 228-5272
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
006563
NY
Other
Enumeration date
09/08/2016
Last updated
10/20/2020
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