Organization
FOOTHURT PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN HURT (PRESIDENT)
(631) 255-7234
Entity
Organization
Contact information
Practice address
50 S 24TH ST, WYANDANCH, NY 11798-2922
(631) 255-7234
(631) 920-5911
Mailing address
50 S 24TH ST, WYANDANCH, NY 11798-2922
(631) 255-7234
(631) 920-5911
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005136
NY
Other
Enumeration date
10/02/2015
Last updated
10/22/2015
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