| Organization Name: | FOOTHURT PODIATRY PC |
| NPI Number: | 1447620430 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELVIN HURT (PRESIDENT) |
| Mailing Address: | 50 S 24th St Wyandanch |
| State: | NY US |
| Postal Code: | 117982922 |
| Phone Number: | 6312557234 |
| Fax Number: | 6319205911 |
| NPI Enumeration Date: | 10/02/2015 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | N005136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |