Organization
PATISH DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRIGORIY PATISH DPM (PRESIDENT)
(917) 859-9673
Entity
Organization
Contact information
Practice address
8549 ELIOT AVE, REGO PARK, NY 11374-2755
(917) 859-9673
Mailing address
2051 79TH ST, BROOKLYN, NY 11214
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005980
NY
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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