Organization
KEYSTONE PODIATRY
Active
Organization
KEYSTONE PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISSETTE CARTAGENA (SECRETARY)
(718) 931-9058
Entity
Organization
Contact information
Practice address
3040 E TREMONT AVE RM 101, BRONX, NY 10461-5733
(718) 931-9058
(718) 918-0004
Mailing address
3040 E TREMONT AVE RM 101, BRONX, NY 10461-5733
(718) 931-9058
(718) 918-0004
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
003843-1
NY
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
Update your record
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