Organization
WALL STREET FOOT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG GREENBLATT DPM (PRESIDENT)
(212) 792-9494
Entity
Organization
Contact information
Practice address
30 BROAD ST, SUITE 2005, NEW YORK, NY 10004-2304
(212) 792-9494
Mailing address
30 BROAD ST, SUITE 2005, NEW YORK, NY 10004-2304
(212) 792-9494
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
005193
NY
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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