Shadow Podiatry
Shadow Podiatry is a Foot & Ankle Surgery Podiatrist in New York, New York. Licensed in New York. Registered with an NPI since 2015.
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
26 BroadwayNew York, NY 10004-1703
Phone: (646) 551-6663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence 006679 (NY) |
|---|
Record details
| NPI number | 1396113692 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daniel Basalely — Doctor Of Podiatric Medicine · (646) 551-6663 |
| NPI enumerated | September 3, 2015 |
| Last updated in NPPES | September 3, 2015 |
| Mailing address | 14431 70th Rd, Flushing, NY 11367-1717 |
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