| Organization Name: | NORTH COUNTRY PODIATRY,PC |
| NPI Number: | 1356510283 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK G. GRESSER (OWNER/PRINCIPAL) |
| Mailing Address: | 626 Canal Rd Mount Sinai |
| State: | NY US |
| Postal Code: | 117663309 |
| Phone Number: | 6313313338 |
| Fax Number: | 6313310014 |
| NPI Enumeration Date: | 02/25/2008 |
| NPI Last Update Date: | 03/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | N003743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |