Organization Name: | FOOT SPECIALISTS OF GREATER CINCINNATI |
NPI Number: | 1235152448 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES M TIRONE (PRESIDENT) |
Mailing Address: | 2865 Chancellor Dr Suite 205 Crestview Hills |
State: | KY US |
Postal Code: | 410173931 |
Phone Number: | 8593419900 |
Fax Number: | 8593411649 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 11/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |