Organization Name: | ASSOCIATED FOOT & ANKLE SPECIALISTS, LLC |
NPI Number: | 1003858598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARRY G HERSTIK (DOCTOR) |
Mailing Address: | 370 Grand Ave Suite 101 Englewood |
State: | NJ US |
Postal Code: | 076314154 |
Phone Number: | 2018168778 |
Fax Number: | 2018169009 |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 11/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | N004973 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |