Organization
PODIATRY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA GIACOBBE (OFFICE MANAGER)
(845) 215-9800
Entity
Organization
Contact information
Practice address
175 ROUTE 304, BARDONIA, NY 10954-2042
(845) 215-9800
(845) 215-9803
Mailing address
175 ROUTE 304, BARDONIA, NY 10954-2042
(845) 215-9800
(845) 215-9803
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006498
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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