Organization
MICHAEL L WODKA D.P.M. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L WODKA D.P.M. (PRESIDENT)
(845) 692-3338
Entity
Organization
Contact information
Practice address
30 INDUSTRIAL DR, MIDDLETOWN, NY 10941-1662
(845) 692-3338
Mailing address
30 INDUSTRIAL DR, MIDDLETOWN, NY 10941-1662
(845) 692-3338
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N003161-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00554738
—
NY
Enumeration date
01/30/2008
Last updated
01/30/2008
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