Healthcare Provider Details

I. General information

NPI: 1417130816
Provider Name (Legal Business Name): ABSOLUTE FOOTCARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2007
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 JAY ST FL 5
BROOKLYN NY
11201-5173
US

IV. Provider business mailing address

180 LONGWOOD XING
LAWRENCE NY
11559-2728
US

V. Phone/Fax

Practice location:
  • Phone: 516-317-7853
  • Fax: 516-292-3267
Mailing address:
  • Phone: 516-317-7853
  • Fax: 516-292-3267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY R ROSENBLATT
Title or Position: OWNER
Credential: D.P.M., F.A.C.F.A.S.
Phone: 516-292-0023