Organization
FOUNDATIONS PODIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAWSAR IBRAHIM (PODIATRIST)
(917) 409-6505
Entity
Organization
Contact information
Practice address
1368 CLOVE RD, STATEN ISLAND, NY 10301-4303
(718) 816-0237
(718) 816-5465
Mailing address
35 ABINGDON CT, STATEN ISLAND, NY 10308-1345
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
02/06/2023
Last updated
04/11/2024
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