NPI 1528571627

Carlson Podiatric Care PLLC

Organisation Podiatrist Williston Park, NY

Practice location

Address: 637 Willis Ave STE E, Williston Park, NY 11596-1161
Phone: (516) 248-8188
Fax: (516) 279-4921

Authorised official

Name: Mary Lee Jensis-Carlson
Title: Podiatrist
Phone: (516) 248-8188

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence N005090 (NY)

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Registry record

NPI: 1528571627
Entity type: Organization
NPI issued: 10 Nov 2017
Record last updated: 10 Nov 2017

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.