| NPI | 1346000569 |
|---|---|
| Other Name | HONESDALE PODIATRY |
| Entity Type | Organization |
| Authorized Contact | TERESA ROSE LACEY CEO 570-253-8451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-05-30 |