Organization
HIGHWAY PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WALLACH (DPM)
(718) 258-9572
Entity
Organization
Contact information
Practice address
2424 KINGS HWY, BROOKLYN, NY 11229-1669
(718) 258-9572
Mailing address
51 WHITE DR, CEDARHURST, NY 11516-2630
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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