West Side Podiatric Association LLC
Podiatrist in New York, NY. Organization (NPI-2).
NPI number1114166808
StatusActive
Last updated in NPPESAug 17, 2026
Details
- NPI
- 1114166808
- Entity type
- Organization (NPI-2)
- Legal business name
- West Side Podiatric Association LLC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2009
- Certification date
- Aug 17, 2026
- Last updated
- Aug 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
137 West 96th StreetNew York, NY 10025
Phone 212-749-0802 · Fax 201-586-0202
Mailing address
137 West 96th StreetNew York, NY 10025
Phone 212-749-0802 · Fax 201-586-0202
Authorized official
David P Luongo
President
2017841900
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