Organization
FORDHAM FOOT CARE GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LOCASTRO (PRESIDENT)
(631) 724-3338
Entity
Organization
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(631) 724-3338
Mailing address
PO BOX 5984, HAUPPAUGE, NY 11788-0193
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N003762
NY
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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