Organization
ASTORIA ADVANCED FOOTCARE
Active
Other names
SUNNYSIDE FAMILY FOOT CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER ADAM HANS DPM (PRESIDENT)
(718) 545-3338
Entity
Organization
Contact information
Practice address
44-15 43RD AVE, SUITE# C-1, SUNNYSIDE, NY 11104
(718) 784-1767
(718) 784-2375
Mailing address
4415 43RD AVE, SUITE# C-1, SUNNYSIDE, NY 11104-2264
(718) 784-1767
(718) 784-2375
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004560
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01371860
—
NY
Enumeration date
11/05/2008
Last updated
01/04/2010
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