Organization
ASTORIA ADVANCE FOOT CARE
Active
Other names
Sunnyside Family Foot Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER ADAM HANS (DR.)
(718) 784-1761
Entity
Organization
Contact information
Practice address
4415 43RD AVE APT C1, SUNNYSIDE, NY 11104-2254
(718) 784-1767
Mailing address
4415 43RD AVE APT C1, SUNNYSIDE, NY 11104-2254
(718) 784-1767
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
BH3401887
NY
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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