Monroe Podiatry Group
LBN: Monroe Podiatry Group
Monroe Podiatry Group is an health care organization with primary practice located at 45 North Ave , Webster NY 14580-3054. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Monroe Podiatry Group can be contacted via phone (585) 872-6520, or through Divasto, Raymond via phone (585) 872-6520.
Contact Information
Primary practice address
45 North Ave
Webster NY 14580-3054
Phone: (585) 872-6520
Fax: (585) 872-6357
Website:
Authorized official contact:
Name: Divasto, Raymond Doctor of Podiatric Medicine (DPM)
Phone: (585) 872-6520
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | New York | |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1023189842 |
|---|---|
| LBN Legal business name | Monroe Podiatry Group |
| DBA Doing business as | |
| Authorized official | Divasto, Raymond Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023189842 | NPPES |
| New York | Other | G0188302590 | EXCELLUS BLUECROSS |
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