Organization
PODIATRIC CARE & DIAGNOSTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J BEAUVAIS DPM (MEDICAL DOCTOR)
(718) 206-0011
Entity
Organization
Contact information
Practice address
8835 164TH ST, SUITE DN, JAMAICA, NY 11432-4056
(718) 206-0011
(718) 206-9856
Mailing address
8835 164TH ST, SUITE DN, JAMAICA, NY 11432-4056
(718) 206-0011
(718) 206-9856
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
01/23/2012
Last updated
01/30/2012
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