Organization
CARLSON PODIATRIC CARE PLLC
Active
Parent organization
CARLSON PODIATRIC CARE PLLC
Other names
Dr Mary Carlson Foot And Ankle Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARLSON PODIATRIC CARE PLLC
Authorized official
DR. MARY LEE JENSIS-CARLSON DPM (PODIATRIST)
(516) 248-8188
Entity
Organization
Contact information
Practice address
637 WILLIS AVE STE E, WILLISTON PARK, NY 11596-1161
(516) 248-8188
(516) 279-4921
Mailing address
637 WILLIS AVE STE E, WILLISTON PARK, NY 11596-1161
(516) 248-8188
(516) 279-4921
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2864001
EMPIRE BC/BS
NY
01
—
P3317984
OXFORD
NY
Enumeration date
11/10/2017
Last updated
11/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us