Organization
STATEN ISLAND PODIATRY, P.C.
Active
Parent organization
STATEN ISLAND PODIATRY, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATEN ISLAND PODIATRY, P.C.
Authorized official
DR. SUSHEEL BATHLA M.D (PRESIDENT)
(917) 826-5709
Entity
Organization
Contact information
Practice address
364 EDISON ST, STATEN ISLAND, NY 10306-3041
(718) 524-4112
(718) 524-4189
Mailing address
364 EDISON ST, STATEN ISLAND, NY 10306-3041
(718) 524-4112
(718) 524-4189
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
01/05/2010
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