Organization · Type 2 NPI
Mary Jensis-Carlson D P M
Foot Surgery Podiatrist · Williston Park, NY
NPI number
1508002783
Active
Practice location
637 Willis Ave, Suite D
Williston Park, NY 11596-1154
Fax (516) 279-4610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | N005090 (NY) |
Foot Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot surgery podiatrist providers in Williston Park
About NPI 1508002783
Mary Jensis-Carlson D P M's National Provider Identifier is 1508002783, issued on Dec 18, 2008. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Williston Park, NY. The record was last updated on Mar 17, 2009.