Organization
MANHATTAN QUALITY PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA REGIS DPM (PRESIDENT)
(516) 605-8332
Entity
Organization
Contact information
Practice address
1503 GRAVESEND NECK RD, BROOKLYN, NY 11229-4428
(516) 605-8332
Mailing address
1279 E 17TH ST APT 3A, BROOKLYN, NY 11230-6063
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972915577
NPI
NY
Enumeration date
05/31/2017
Last updated
05/31/2017
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