| Organization Name: | NORTH ROCKLAND PODIATRY PC |
| NPI Number: | 1053627463 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER COSTA (PRESIDENT) |
| Mailing Address: | 7 Liberty Square Mall Stony Point |
| State: | NY US |
| Postal Code: | 109802400 |
| Phone Number: | 8454290520 |
| Fax Number: | 8454290630 |
| NPI Enumeration Date: | 08/23/2010 |
| NPI Last Update Date: | 08/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | N3910-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |