Organization · NPI-2

885 Park Avenue Podiatry

· New York, NY

NPI number1225210362
StatusActive
Last updated in NPPESApr 20, 2008

Details

NPI
1225210362
Entity type
Organization (NPI-2)
Legal business name
885 Park Avenue Podiatry
Organization subpart
No
Enumeration date
Nov 30, 2007
Last updated
Apr 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0131X N002752NYYes

Practice location

885 Park Ave
New York, NY 10075-0325

Phone 212-535-0229 · Fax 212-734-3192

Mailing address

885 Park Ave
New York, NY 10075-0325

Phone 212-535-0229 · Fax 212-734-3192

Authorized official

Suzanne Levine
Owner
2125350229

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