| Organization Name: | QUEENS CORPORATE FOOT CARE, P.C. |
| NPI Number: | 1003088238 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELVIN B HURT (PODIATRIC SPECIALIST) |
| Mailing Address: | 221-10 Jamaica Ave Suite 104 Queens Village |
| State: | NY US |
| Postal Code: | 114282037 |
| Phone Number: | 7187767232 |
| Fax Number: | 7187767418 |
| NPI Enumeration Date: | 03/27/2008 |
| NPI Last Update Date: | 03/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | N005136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |