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Individual

DR. WILLIAM ANTHONY LAFFERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
175 GUYON AVE, STATEN ISLAND, NY 10306-3947
(718) 351-0786
(718) 351-3983
Mailing address
250 PARKWOOD AVE, STATEN ISLAND, NY 10309-2242
(718) 351-0786
(718) 351-3983

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00259300
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005596
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1499659
GHI
NY
01
2223930
UNITED HEALTHCARE
NY
01
370013065
CHILD HEALTH PLUS
01
7862397
AETNA
NY
01
N0U231
BLUE CROSS PPO
NY
01
P2650586
OXFORD
NY
01
PG9311
BLUE CROSS HMO
NY
Enumeration date
11/13/2006
Last updated
08/22/2012
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