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NPI Code Detail

MEDICARE: ZG ADVANCED PODIATRY SERVICES, PC

MEDICARE: ZG ADVANCED PODIATRY SERVICES, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0131XFoot Surgery Podiatrist006194NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1006194OTHERNYLICENSE

General Provider Information

NPI Number : 1619159357
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZG ADVANCED PODIATRY SERVICES, PC
Provider Business Mailing Address
First Line : 749 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-7813
Country : US
Telephone Number : 718-769-8210
Fax Number :
Provider Business Practice Location Address
First Line : 749 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-7813
Country : US
Telephone Number : 718-769-8210
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ZHANNA GLIKMAN
Credential : DPM
Telephone Number : 718-769-8210
Provider Enumeration Date : 12/05/2007
Last Update Date : 10/18/2024

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Directions to “ZG ADVANCED PODIATRY SERVICES, PC ” Practice Location

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