Balance Foot And Ankle Llc

LBN: Balance Foot And Ankle Llc
Balance Foot And Ankle Llc is an health care organization with primary practice located at 611 Mitchel Field Way , Garden City NY 11530-5057. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Balance Foot And Ankle Llc can be contacted via phone (845) 596-4745, or through Miranda, Tyler via phone (845) 596-4745.

Contact Information

Primary practice address
611 Mitchel Field Way Garden City NY 11530-5057
Phone: (845) 596-4745
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miranda, Tyler Doctor of Podiatric Medicine (DPM)
Phone: (845) 596-4745

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1063074565
LBN Legal business name Balance Foot And Ankle Llc
DBA Doing business as
Authorized official Miranda, Tyler Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2019
Last updated Jul 3rd, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063074565 NPPES
New York MEDICAID 04294551

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