MEDICARE: GREENPOINT FOOT & ANKLE, PC

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	213ES0103X	Foot & Ankle Surgery Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720275258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENPOINT FOOT & ANKLE, PC

Provider Business Mailing Address
First Line	:	102 NORMAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-2934
Country	:	US
Telephone Number	:	718-389-4404
Fax Number	:	718-389-5317

Provider Business Practice Location Address
First Line	:	102 NORMAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-2934
Country	:	US
Telephone Number	:	718-389-4404
Fax Number	:	718-389-5317

Authorized Official
Title or Position	:	PRES
Name	:	DR. LESTER N DENNIS
Credential	:	D.P.M.
Telephone Number	:	718-389-4404

Provider Enumeration Date	:	09/28/2007
Last Update Date	:	12/09/2013

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Directions to “GREENPOINT FOOT & ANKLE, PC ” Practice Location

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