Organization
CONEY ISLAND PODIATRY CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN J. DONOVAN DPM (PRESIDENT)
(718) 769-8400
Entity
Organization
Contact information
Practice address
2753 CONEY ISLAND AVE, BROOKLYN, NY 11235-5015
(718) 769-8400
(718) 769-3255
Mailing address
2753 CONEY ISLAND AVE, BROOKLYN, NY 11235-5015
(718) 769-8400
(718) 769-3255
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N003550-1
NY
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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