Organization
ANKLE AND FOOT CENTERS OF OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLAY GATALYAK (DPM)
(330) 493-3363
Entity
Organization
Contact information
Practice address
3731 WHIPPLE AVE NW, CANTON, OH 44718-2933
(330) 493-3363
Mailing address
3731 WHIPPLE AVE NW, CANTON, OH 44718-2933
(330) 493-3363
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003582
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0164857
—
OH
Enumeration date
04/26/2016
Last updated
07/24/2019
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