Organization
NORTHEAST FOOT CARE PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA J MONTALVO DPM (PODIATRIST)
(845) 641-4783
Entity
Organization
Contact information
Practice address
16 SEMINARA CIR, GARNERVILLE, NY 10923
(845) 641-4783
Mailing address
16 SEMINARA CIR, GARNERVILLE, NY 10923-1736
(845) 641-4783
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
N006820
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04816428
—
NY
01
—
A400176602
MEDICARE
NY
Enumeration date
05/16/2018
Last updated
05/16/2018
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