Organization
MICHAEL MADDEN D P M P C
Active
Organization
MICHAEL MADDEN D P M P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. MADDEN D.P.M. (OWNER/PRESIDENT)
(914) 682-9440
Entity
Organization
Contact information
Practice address
311 NORTH ST, SUITE 404, WHITE PLAINS, NY 10605-2217
(914) 682-9440
(914) 682-9441
Mailing address
311 NORTH ST, SUITE 404, WHITE PLAINS, NY 10605-2217
(914) 682-9440
(914) 682-9441
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N3766-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03216951
—
NY
Enumeration date
01/15/2010
Last updated
03/12/2015
Update your record
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