Organization
JAMES B ROUSH
Active
Other names
Village Footcare
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B ROUSH D.P.M. (OWNER)
(607) 936-9985
Entity
Organization
Contact information
Practice address
186 VILLAGE SQ, PAINTED POST, NY 14870-1320
(607) 936-9985
(607) 936-9991
Mailing address
111 E 14TH ST, ELMIRA HEIGHTS, NY 14903-1303
(607) 734-9539
(607) 734-6293
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01799673
—
NY
Enumeration date
08/27/2006
Last updated
06/18/2008
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