Provider Demographics
NPI:1447538715
Name:ROCKLAND FOOTCARE, P.C.
Entity type:Organization
Organization Name:ROCKLAND FOOTCARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUTISTA-HUSSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:646-251-3372
Mailing Address - Street 1:185 HOBART ST
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1838
Mailing Address - Country:US
Mailing Address - Phone:646-251-3372
Mailing Address - Fax:
Practice Address - Street 1:185 HOBART ST
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1838
Practice Address - Country:US
Practice Address - Phone:646-251-3372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006117213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty