Organization
LAKE GROVE FOOT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ANDREW FOUCHER DPM (OWNER/PHYSICIAN)
(631) 981-5287
Entity
Organization
Contact information
Practice address
2701 MIDDLE COUNTRY RD, SUITE #1, LAKE GROVE, NY 11755-2117
(631) 981-5287
(631) 981-5288
Mailing address
2701 MIDDLE COUNTRY RD, SUITE #1, LAKE GROVE, NY 11755-2117
(631) 981-5287
(631) 981-5288
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005144
NY
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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