Organization Name: | FAMILY FOOTCARE GROUP, LLP |
NPI Number: | 1326236076 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARC J HUDES (MANAGING PARTNER) |
Mailing Address: | 156 Pike St Port Jervis |
State: | NY US |
Postal Code: | 127711808 |
Phone Number: | 8458567700 |
Fax Number: | 8457940228 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 11/09/2007 |
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: |