Organization
ASTORIA FOOT CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MERMELSTEIN DPM (PARTNER)
(718) 274-4040
Entity
Organization
Contact information
Practice address
3117 DITMARS BLVD, ASTORIA, NY 11105-2305
(718) 274-4040
Mailing address
3117 DITMARS BLVD, ASTORIA, NY 11105-2305
(718) 274-4040
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637169
—
NY
01
—
55369
MEDICARE GHI
NY
01
—
CF7316
MEDICARE RAILROAD
NY
Enumeration date
07/16/2006
Last updated
04/23/2024
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