Organization
UVATOV PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA UVATOV (DPM)
(917) 817-8262
Entity
Organization
Contact information
Practice address
314 SEAVIEW AVE, STATEN ISLAND, NY 10305-2246
(917) 817-8262
Mailing address
145 HENRY PL, STATEN ISLAND, NY 10305-1359
(917) 817-8262
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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