Organization · Type 2 NPI

Eastside Podiatry

Foot Surgery Podiatrist · Fairport, NY

NPI number 1023045549 Active

Practice location

430 Crosskeys Office Park
Fairport, NY 14450

Fax (585) 421-8093

Specialties and licenses

TaxonomyCodeLicense
Foot Surgery Podiatrist Primary 213ES0131XN003357 (NY)

Foot Surgery Podiatrist: Definition to come...

About NPI 1023045549

Eastside Podiatry's National Provider Identifier is 1023045549, issued on Jun 28, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Fairport, NY. The record was last updated on Dec 11, 2007.