| |
27 Fennell St, Skaneateles, NY 13152-1158 | |
(315) 685-3338 | |
(315) 685-6391 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot Surgery |
Location | 27 Fennell St, Skaneateles, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396899365 | NPI | - | NPPES |
02554983 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | N003729 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
8280 Willett Pkwy, Suite 101, Baldwinsville, NY 13027-1325 Ph: (315) 857-0140 | 27 Fennell St, Skaneateles, NY 13152-1158 Ph: (315) 685-3338 |