Organization
MARC J FEDERBUSCH DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC JEFFREY FEDERBUSCH DPM (OWNER)
(718) 366-3338
Entity
Organization
Contact information
Practice address
6534 MYRTLE AVE, GLENDALE, NY 11385-6212
(718) 366-3338
(718) 366-2633
Mailing address
6534 MYRTLE AVE, GLENDALE, NY 11385-6212
(718) 366-3338
(718) 366-2633
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003554
NY
Other
Enumeration date
06/06/2008
Last updated
02/23/2009
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