Individual
DR. JOHN FOOTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(603) 491-5049
Mailing address
4325 HUNTER ST, LONG ISLAND CITY, NY 11101-4455
(603) 491-5049
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
304289
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3
F
—
Enumeration date
03/24/2016
Last updated
09/14/2021
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