| |
1990 E. Main St, Mohegan Lake, NY 10547-1231 | |
(914) 743-1066 | |
(914) 743-1067 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1990 E. Main St, Mohegan Lake, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871799338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | NOO5563 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
1990 E. Main St, Mohegan Lake, NY 10547-1231 Ph: (914) 743-1066 | 1990 E. Main St, Mohegan Lake, NY 10547-1231 Ph: (914) 743-1066 |
Advanced Westchester Podiatry Llp Podiatrist Medicare: Medicare Enrolled Practice Location: 1990 E Main St, Mohegan Lake, NY 10547 Phone: 914-743-1066 Fax: 914-743-1067 |