LGD PODIATRIC SURGICAL, PC
Medical Practice at New Hyde Park Rd, New Hyde Park, NY

License number
New York N006347
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. FRED J DELUCIA D.P.M.
Title: PRESIDENT
Phone: (516) 492-3515
Address
Address
3003 New Hyde Park Rd SUITE 312, New Hyde Park, NY 11042
National Provider ID: 1245511559
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LGD PODIATRIC SURGICAL, PC

3003 New Hyde Park Rd SUITE 312, New Hyde Park, NY 11042

Status:
Inactive
Industry:
Nonclassifiable Establishments
Doing business as:
Lgd Podiatric Surgical P C
Registration:
Jul 13, 2011
State ID:
4117837
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Dr. Fred J. Delucia, 3003 New Hyde Park Rd SUITE 312, New Hyde Park, NY 11042 (Physical)

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