Provider Demographics
NPI:1205153624
Name:PERFECT-FOOT AND ANKLE SPECIALIST PC
Entity type:Organization
Organization Name:PERFECT-FOOT AND ANKLE SPECIALIST PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:FOSU
Authorized Official - Last Name:BAAH
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-861-2121
Mailing Address - Street 1:9711 HORACE HARDING EXPY
Mailing Address - Street 2:SUITE 4J
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-4758
Mailing Address - Country:US
Mailing Address - Phone:347-239-2606
Mailing Address - Fax:
Practice Address - Street 1:825 BOYNTON AVE
Practice Address - Street 2:SUITE 1D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-4758
Practice Address - Country:US
Practice Address - Phone:718-861-2121
Practice Address - Fax:718-861-2062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-24
Last Update Date:2010-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006247213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty