Organization
FAMILY FOOTCARE AND SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TETYANA BOREESENKO DPM (OWNER)
(718) 793-5511
Entity
Organization
Contact information
Practice address
29 HEATHER RDG, HIGHLAND MILLS, NY 10930-8321
(718) 793-5511
(718) 793-5512
Mailing address
29 HEATHER RDG, HIGHLAND MILLS, NY 10930-8321
(718) 793-5511
(718) 793-5512
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N006232
NY
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
09/23/2008
Last updated
03/19/2024
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