Organization
SURGICAL PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCELVIN POPE DPM (PRESIDENT)
(917) 328-9321
Entity
Organization
Contact information
Practice address
9 BRIDLE PATH DR, OLD WESTBURY, NY 11568-1607
(917) 328-9321
Mailing address
9 BRIDLE PATH DR, OLD WESTBURY, NY 11568-1607
(917) 328-9321
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006621
NY
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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