Provider Demographics
NPI:1669526091
Name:FOOT SPECIALISTS OF CNY PC
Entity type:Organization
Organization Name:FOOT SPECIALISTS OF CNY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:NAAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-656-2216
Mailing Address - Street 1:5900 NORTH BURDICK ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057
Mailing Address - Country:US
Mailing Address - Phone:315-656-2216
Mailing Address - Fax:315-656-2454
Practice Address - Street 1:5900 NORTH BURDICK ST
Practice Address - Street 2:SUITE 104
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057
Practice Address - Country:US
Practice Address - Phone:315-656-2216
Practice Address - Fax:315-656-2454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty