Provider Demographics
NPI:1609537836
Name:WHOLE FOOT CARE PLLC
Entity type:Organization
Organization Name:WHOLE FOOT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:HASKIN-COLE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:845-986-8400
Mailing Address - Street 1:9 RONALD REAGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-4115
Mailing Address - Country:US
Mailing Address - Phone:845-986-8400
Mailing Address - Fax:845-986-8954
Practice Address - Street 1:9 RONALD REAGAN BLVD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-4115
Practice Address - Country:US
Practice Address - Phone:845-986-8400
Practice Address - Fax:845-986-8954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty