Organization · NPI-2

885 Park Avenue Podiatry

Podiatrist, Foot & Ankle Surgery · New York, NY

NPI number1891975785
StatusActive
Last updated in NPPESApr 20, 2008

Details

NPI
1891975785
Entity type
Organization (NPI-2)
Legal business name
885 Park Avenue Podiatry
Organization subpart
No
Enumeration date
Nov 7, 2007
Last updated
Apr 20, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryN002752NYYes

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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