PIDICH PODIATRY PC
Managed Care Organizations at 34 St, New York, NY

License number
New York 006354
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: CASEY ANN PIDICH DPM
Title: OWNER
Phone: (718) 548-1104
Address
Address
45 W 34Th St SUITE 903, New York, NY 10001
National Provider ID: 1346789484
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PIDICH PODIATRY PC

442 E 78 St #2A, New York, NY 10075

Registration:
Feb 19, 2014
State ID:
4531579
Business type:
DOMESTIC PROFESSIONAL CORPORATION

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