Comprehensive Foot Care PLLC
Organization Active NPI Foot & Ankle Surgery Podiatrist · Roosevelt, NY
NPI 1043332026 · NPPES record last updated Jul 16, 2007
Key facts
- NPI
- 1043332026
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 005172 (NY)
- Legal business name
- COMPREHENSIVE FOOT CARE PLLC
- Practice address
- 306 Nassau Rd
Roosevelt, NY 11575-1342 - Phone
- (516) 223-3338
- Fax
- (516) 223-9349
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ian Keith Cook, D.P.M.
- Title
- President
- Phone
- (516) 223-3338
Practitioners 1
-
Ian Keith Cook, DPM
National Provider Directory
Locations
306 Nassau Rd
Roosevelt, NY 11575
Phone (516) 223-3338
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist |
213ES0103X | 005172 | NY | Yes |
Addresses
Primary practice location
306 Nassau Rd
Roosevelt, NY 11575-1342
Mailing address
306 Nassau Rd
Roosevelt, NY 11575-1342
Phone (516) 223-3338
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6299193 | Other | NY | GHI |
| 01548952 | Medicaid | NY |
Other providers in Roosevelt, NY
- Symong Choi
- Lisa Marie Christie-Wild
- Tamara Cira Gustave
- Dashawn Clark
- Erica Cline
- Jacqueline Connolly
- Erin Constantino
- Ian Keith Cook
- Lisa Ann Cooper
- Melissa Anne Crammer
All providers in Roosevelt, NY · Foot & Ankle Surgery Podiatrist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.