Provider Demographics
NPI:1538396627
Name:ADVANCED FOOT COMFORT PODIATRY, P.C.
Entity type:Organization
Organization Name:ADVANCED FOOT COMFORT PODIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER (PRESIDENT)
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:BALSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:914-941-0596
Mailing Address - Street 1:127 WOODSIDE AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510
Mailing Address - Country:US
Mailing Address - Phone:914-941-0596
Mailing Address - Fax:914-941-0372
Practice Address - Street 1:127 WOODSIDE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510
Practice Address - Country:US
Practice Address - Phone:914-941-0596
Practice Address - Fax:914-941-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002653213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty