Healthcare Provider Details

I. General information

NPI: 1538348933
Provider Name (Legal Business Name): NATIONAL FOOT CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 05/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2419 JERICHO TPKE
GARDEN CITY PARK NY
11040-4710
US

IV. Provider business mailing address

2419 JERICHO TPKE
GARDEN CITY PARK NY
11040-4710
US

V. Phone/Fax

Practice location:
  • Phone: 516-294-9540
  • Fax: 516-294-4119
Mailing address:
  • Phone: 516-294-9540
  • Fax: 516-294-4119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN003452
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberN003452
License Number StateNY

VIII. Authorized Official

Name: DR. RALPH M. TURRI
Title or Position: OWNER
Credential: DPM
Phone: 516-294-9540