NPI 1508002783

Mary Jensis-Carlson D P M

Organisation Foot Surgery Podiatrist Williston Park, NY

Practice location

Address: 637 Willis Ave Suite D, Williston Park, NY 11596-1154
Phone: (516) 248-8188
Fax: (516) 279-4610
Mailing address: 637 Willis Ave STE D., Williston Park, NY 11596-1154

Authorised official

Name: Mary L Jensis-Carlson
Title: Owner
Phone: (516) 248-8188

Registered specialties

Foot Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence N005090 (NY)

Other Podiatrist providers in New York →

Registry record

NPI: 1508002783
Entity type: Organization
NPI issued: 18 Dec 2008
Record last updated: 17 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.