Organization
THE FOOT DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TEIBEL DPM (OWNER)
(585) 721-3668
Entity
Organization
Contact information
Practice address
85 S UNION ST, SPENCERPORT, NY 14559-1255
(585) 721-3668
Mailing address
790 LINDEN AVE, ROCHESTER, NY 14625-2716
(585) 385-9030
(585) 385-9124
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0005095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01684064
—
NY
Enumeration date
05/26/2006
Last updated
08/22/2020
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