Organization
INNOVATIVE FOOTCARE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MATTHEW LOCASTRO DPM (DOCTOR)
(718) 292-7081
Entity
Organization
Contact information
Practice address
391 E 149TH ST, BRONX, NY 10455-3907
(718) 292-7081
Mailing address
391 E 149TH ST, BRONX, NY 10455-3907
(718) 292-7081
(718) 292-7094
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003762
NY
213E00000X
Podiatrist
N004738
NY
213E00000X
Podiatrist
N005916
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00873914
—
NY
Enumeration date
04/03/2007
Last updated
09/30/2009
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