Organization
NORTH BELLMORE FOTCARE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN GOEZ DPM (PODIATRIC SURGEON)
(515) 804-2291
Entity
Organization
Contact information
Practice address
2428 MERRICK RD, BELLMORE, NY 11710-5745
(516) 804-2291
(516) 826-5821
Mailing address
2348 KENNETH AVE, NORTH BELLMORE, NY 11710-3038
(516) 804-2291
(516) 826-5821
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004890
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N004890
—
NY
Enumeration date
02/18/2009
Last updated
02/18/2009
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