Individual
DR. MARC FOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
213E00000X
Podiatrist
Primary
005144
NY
Other
Enumeration date
08/09/2005
Last updated
10/21/2010
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