MEDICARE: COMPLETE FOOT CARE, P.C.

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
1	213ES0131X	Foot Surgery Podiatrist	N006214	NY

General Provider Information

NPI Number	:	1306043914
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE FOOT CARE, P.C.

Provider Business Mailing Address
First Line	:	212 HARRISON AVE
Second Line	:	2ND FLOOR
City	:	BETHPAGE
State	:	NY
Zip	:	11714-3512
Country	:	US
Telephone Number	:	516-474-8007
Fax Number	:

Provider Business Practice Location Address
First Line	:	693 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-4306
Country	:	US
Telephone Number	:	718-462-7315
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. NADEEM A. SHEIKH
Credential	:	D.P.M
Telephone Number	:	516-474-8007

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	08/09/2007

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