Organization
TRI-STATE FOOT CARE, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASILIOS NICHOLAS SPYROPOULOS (OWNER)
(866) 464-1065
Entity
Organization
Contact information
Practice address
1164 NOSTRAND AVE, BROOKLYN, NY 11225-5418
(866) 464-1065
Mailing address
13 S SHORE DR, SOUTH AMBOY, NJ 08879-3433
(866) 464-1065
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02180183
—
NY
01
—
P07851
MEDICARE ID NUMBER
NY
Enumeration date
06/09/2008
Last updated
10/06/2008
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