International Family Footcare, PC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

N003574 Issued in NY

Legal business name

INTERNATIONAL FAMILY FOOTCARE, PC

Practice address

600 Suffolk Ave
Suite B
Brentwood, NY 11717-4311

Phone

(631) 435-2222

Fax

(631) 435-2270

NPI assigned

Feb 5, 2009

Last updated

Feb 5, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert A. Klein, DPM

Title

President

Phone

(631) 435-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1831338409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUFFOLK AVE",
            "address_2": "SUITE B",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174311",
            "telephone_number": "631-435-2222",
            "fax_number": "631-435-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUFFOLK AVE",
            "address_2": "SUITE B",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174311",
            "telephone_number": "631-435-2222",
            "fax_number": "631-435-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL FAMILY FOOTCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-435-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "N003574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00786769",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatric Clinic/Center in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Podiatric Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.