Organization
QUALITY CARE PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY KONRAD OLSEN D.P.M. (OWNER/PODIATRIST)
(718) 833-0869
Entity
Organization
Contact information
Practice address
453 BAY RIDGE PKWY, BROOKLYN, NY 11209-2701
(718) 833-0869
Mailing address
453 BAY RIDGE PKWY, BROOKLYN, NY 11209-2701
(718) 833-0869
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
N005647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02157519
—
NY
Enumeration date
05/09/2008
Last updated
09/01/2011
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