Organization
MARY JENSIS-CARLSON D P M
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L JENSIS-CARLSON DPM (OWNER)
(516) 248-8188
Entity
Organization
Contact information
Practice address
637 WILLIS AVE, SUITE D, WILLISTON PARK, NY 11596-1154
(516) 248-8188
(516) 279-4610
Mailing address
637 WILLIS AVE, STE D., WILLISTON PARK, NY 11596-1154
(516) 248-8188
(516) 279-4610
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005090
NY
Other
Enumeration date
12/18/2008
Last updated
03/17/2009
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