Provider Demographics
NPI:1437924503
Name:COMFORT STEP PODIATRY, P.C.
Entity Type:Organization
Organization Name:COMFORT STEP PODIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAE-LYOUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-250-0936
Mailing Address - Street 1:14308 ROOSEVELT AVE STE L4
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-6116
Mailing Address - Country:US
Mailing Address - Phone:718-939-3220
Mailing Address - Fax:718-939-3440
Practice Address - Street 1:14308 ROOSEVELT AVE STE L4
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6116
Practice Address - Country:US
Practice Address - Phone:718-939-3220
Practice Address - Fax:718-939-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty