Organization
TRI-BORO PODIATRY PLLC
Active
Organization
TRI-BORO PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMEON ISAACS DPM (MANAGER)
(786) 351-8969
Entity
Organization
Contact information
Practice address
953 SOUTHERN BLVD, LOBBY, BRONX, NY 10459-3428
(347) 590-2707
(347) 590-2706
Mailing address
1241 E 8TH ST, BROOKLYN, NY 11230-5105
(786) 351-8969
(347) 590-2706
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
65-002897
NY
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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