Organization
TRI STATE FOOT CARE, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASILIOS NICHOLAS SPYROPOULOS DPM (OWNER)
86646411065
Entity
Organization
Contact information
Practice address
13 S SHORE DR, SOUTH AMBOY, NJ 08879-3433
(866) 464-1065
(877) 464-1065
Mailing address
9016 ROCKAWAY BEACH BLVD, SUITE B, ROCKAWAY BEACH, NY 11693-1530
(866) 464-1065
(877) 464-1065
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02180183
—
NY
01
—
04678
MEDICARE ID NUMBER
NY
Enumeration date
01/12/2009
Last updated
04/22/2009
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