Organization Name: | FAMILY FOOT CARE PLLC |
NPI Number: | 1376605758 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID PICCHIONE (MEMBER) |
Mailing Address: | 1301 River St Suite 202 Valatie |
State: | NY US |
Postal Code: | 121849694 |
Phone Number: | 5187581331 |
Fax Number: | 5187581394 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 05/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |