Organization
KINGS HIGHWAY PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN J GOODMAN D.P.M. (PODIATRIST)
(718) 376-3077
Entity
Organization
Contact information
Practice address
380 AVENUE U, SUITE 1L, BROOKLYN, NY 11223-4046
(718) 376-3077
(718) 339-4470
Mailing address
380 AVENUE U, SUITE 1L, BROOKLYN, NY 11223-4046
(718) 376-3077
(718) 339-4470
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N3926
NY
213E00000X
Podiatrist
N3936
NY
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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