LIFESTYLE PODIATRY, PC
Medical Practice at 45 St, New York, NY

License number
New York N004044
Category
Medical Practice
Type
Foot Surgery
Owner
Name: DR. MAITRAYA D THAKER DPM
Title: PRESIDENT
Phone: (770) 349-9861
Address
Address 2
2 W 45Th St SUITE 300, New York, NY 10036
1466 Bluff Ct, Suwanee, GA 30024
National Provider ID: 1477743698
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LIFESTYLE PODIATRY, PC

2 W 45 SUITE 300, New York, NY 10036

Industry:
Nonclassifiable Establishments, Podiatrist's Office
Doing business as:
Foot Care of New York
Registration:
Oct 18, 2012
State ID:
4309915
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Maitraya D Thaker, 620 W 42 APT 18A, New York, NY 10036 (Physical)

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