Organization · Type 2 NPI
South Carriage
Foot & Ankle Surgery Podiatrist · Medina, NY
NPI number
1467962977
Active
Practice location
512 Beach Dr
Medina, NY 14103-1004
Fax (585) 331-6752
Mailing address
PO Box 70243
Staten Island, NY 10307-0243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 006888 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1467962977
South Carriage's National Provider Identifier is 1467962977, issued on Oct 10, 2017. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Medina, NY. The record was last updated on Oct 10, 2017.