Healthcare Provider Details

I. General information

NPI: 1518054485
Provider Name (Legal Business Name): METRO FOOTCARE ASSOCIATES L.L.P.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 11/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 CLINTON AVE S
ROCHESTER NY
14618-2623
US

IV. Provider business mailing address

2225 CLINTON AVE S
ROCHESTER NY
14618-2623
US

V. Phone/Fax

Practice location:
  • Phone: 585-473-5051
  • Fax: 585-473-3033
Mailing address:
  • Phone: 585-473-5051
  • Fax: 585-473-3033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberN003613
License Number StateNY

VIII. Authorized Official

Name: WENDY MCCARTHY
Title or Position: OFFICE MANAGER
Credential:
Phone: 585-473-5051