Provider Demographics
NPI:1386283695
Name:QUEENS PODIATRY PLLC
Entity type:Organization
Organization Name:QUEENS PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:PICHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-639-0499
Mailing Address - Street 1:7001 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-1820
Mailing Address - Country:US
Mailing Address - Phone:718-639-0499
Mailing Address - Fax:718-639-2268
Practice Address - Street 1:7001 GRAND AVE
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-1820
Practice Address - Country:US
Practice Address - Phone:718-639-0499
Practice Address - Fax:718-639-2268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty