Organization
FAMILY FOOTCARE GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG KEITH ATLAS DPM (PODIATRIST PARTNER)
(845) 794-7741
Entity
Organization
Contact information
Practice address
427 BROADWAY, SUITE #2, MONTICELLO, NY 12701-1742
(845) 794-7741
(845) 794-0228
Mailing address
427 BROADWAY, SUITE #2, MONTICELLO, NY 12701-1742
(845) 794-7741
(845) 794-0228
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01948732
—
NY
01
—
0441090001
MEDICARE DMERC
NY
Enumeration date
03/30/2006
Last updated
11/09/2007
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