Organization · Type 2 NPI
Green Mountain Family Podiatry PC
Foot & Ankle Surgery Podiatrist · Whitehall, NY
NPI number
1407909039
Active
Practice location
212 Broadway
Whitehall, NY 12887-1639
Fax (518) 499-9247
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 003568 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1407909039
Green Mountain Family Podiatry PC's National Provider Identifier is 1407909039, issued on Jan 18, 2007. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Whitehall, NY. The record was last updated on Jun 21, 2018.