MADISON AVENUE FOOTCARE, PC
Podiatry at Union Sq, New York, NY

License number
New York N004243
Category
Podiatry
Type
Podiatrist
Owner
Name: NADYA E DIMITROV D.P.M.
Title: OWNER
Phone: (212) 689-0206
Address
Address 2
10 Union Sq E 2N, New York, NY 10003
350 Old Willets Path, Smithtown, NY 11787
National Provider ID: 1861567000
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MADISON AVENUE FOOTCARE, PC

161 Madison Ave, New York, NY 10016

Doing business as:
NADYA DIMITROV, DPM, PC
Registration:
Sep 11, 2001
State ID:
2679415
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Nadya Dimitrov, 350 Old Willets Path, Smithtown, NY 11787 (Physical)
Agent:
Nadya Dimitrov, Dpm Pc,C/O Mayer & Company, Deer Park, NY 11729 (Physical)

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