Healthcare Provider Details

I. General information

NPI: 1962837807
Provider Name (Legal Business Name): METRO FOOTCARE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2013
Last Update Date: 03/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 EMPIRE BLVD
WEBSTER NY
14580-1957
US

IV. Provider business mailing address

2225 CLINTON AVE S
ROCHESTER NY
14618-2664
US

V. Phone/Fax

Practice location:
  • Phone: 585-787-2240
  • Fax:
Mailing address:
  • Phone: 585-473-5051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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