Organization
FOOT SPECIALIST ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRIN D EDWARDS DPM (PRESIDENT)
(518) 869-5799
Entity
Organization
Contact information
Practice address
1692 CENTRAL AVE, ALBANY, NY 12205-4045
(518) 869-5799
(518) 862-1489
Mailing address
1692 CENTRAL AVE, ALBANY, NY 12205-4045
(518) 869-5799
(518) 862-1489
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405556002
SENIOR BLUE
NY
01
—
00040556002
BLUE SHIELD OF NENY
NY
01
—
113722
WELLCARE
NY
01
—
6202091
GHI
NY
01
—
C14565
RAILROAD MEDICARE
NY
01
—
P32002
BC/BS
NY
Enumeration date
08/29/2006
Last updated
05/07/2008
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