MEDICARE: ALL COUNTY PODIATRY ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	213E00000X	Podiatrist
2	213EP1101X	Primary Podiatric Medicine Podiatrist
3	213ES0103X	Foot & Ankle Surgery Podiatrist
4	213ES0131X	Foot Surgery Podiatrist

General Provider Information

NPI Number	:	1700965332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL COUNTY PODIATRY ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 422
Second Line	:
City	:	OLD WESTBURY
State	:	NY
Zip	:	11568-0422
Country	:	US
Telephone Number	:	718-728-3334
Fax Number	:	718-204-6866

Provider Business Practice Location Address
First Line	:	3711 88TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7630
Country	:	US
Telephone Number	:	718-728-3334
Fax Number	:	718-204-6866

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GIANNI PERSICH
Credential	:	D.P.M.
Telephone Number	:	718-728-3334

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	09/11/2025

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