Dt Foot Care Pc

LBN: Dt Foot Care Pc
Dt Foot Care Pc is an health care organization with primary practice located at 9314 Queens Blvd 1E, Rego Park NY 11374-1135. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Dt Foot Care Pc can be contacted via phone (718) 275-7600, or through Tetrokalashvili, David via phone (718) 969-0269.

Contact Information

Primary practice address
9314 Queens Blvd 1E Rego Park NY 11374-1135
Phone: (718) 275-7600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tetrokalashvili, David Doctor of Podiatric Medicine (DPM)
Phone: (718) 969-0269

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N006091-1 New York

Profile Details

NPI number 1871986752
LBN Legal business name Dt Foot Care Pc
DBA Doing business as
Authorized official Tetrokalashvili, David Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2015
Last updated Mar 16th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871986752 NPPES
New York Other 9541060 AETNA HMO

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