Organization
MAIN STREET FOOTCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN DAVID ROSENBLUM DPM (OWNER)
(718) 263-8118
Entity
Organization
Contact information
Practice address
6920 MAIN ST, FLUSHING, NY 11367-1703
(718) 263-8118
(718) 261-4220
Mailing address
6920 MAIN ST, FLUSHING, NY 11367-1703
(718) 263-8118
(718) 261-4220
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005978
NY
Other
Enumeration date
08/23/2006
Last updated
08/22/2020
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