Organization
MADISON AVENUE FOOTCARE, PC
Active
Other names
Nadya Dimitrov, DPM
Organization subpart
No
Provider details
NPI number
Authorized official
NADYA E DIMITROV D.P.M. (OWNER)
(212) 689-0206
Entity
Organization
Contact information
Practice address
10 UNION SQ E, 2N, NEW YORK, NY 10003-3314
(212) 844-8211
(212) 844-8201
Mailing address
350 OLD WILLETS PATH, SMITHTOWN, NY 11787-4120
(212) 689-0206
(631) 724-3252
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01100283
—
NY
Enumeration date
11/22/2006
Last updated
07/07/2010
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