5TH AVENUE PODIATRY, PC
Podiatry at 44 St, New York, NY

License number
New York N004656
Category
Podiatry
Type
Podiatrist
Owner
Name: DR. BEN DIMICHINO D.P.M.
Title: PRESIDENT
Phone: (212) 768-7999
Address
Address
36 W 44Th St SUITE 401, New York, NY 10036
National Provider ID: 1164586723
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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5TH AVENUE PODIATRY, PC

36 W 44 St STE 914, New York, NY 10036

Industry:
Podiatrist's Office
Registration:
Jul 29, 1999
State ID:
2403333
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Podiatrists:
Ben Dimichino Dpm, 36 W 44 St STE 914, New York, NY 10036 (Physical),Ben Dimichino (Owner, President),Brian E. Fanno Podiatrist, inactive

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