NPI:
1518465020
Provider Name:
TIEVSKY PODIATRY, LLC
Doing Business As: TIEVSKY FOOT & ANKLE, PLLC
Classification:
Podiatrist - 213ES0103X
Entity Type:
Organization
Specialization: Foot & Ankle Surgery
Address:
15-01 BROADWAY STE 10B
FAIR LAWN, NJ
ZIP 07410
Phone:
(833) 439-3668
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TIEVSKY PODIATRY, LLC is a foot and ankle surgery podiatrist in Fair Lawn, NJ. TIEVSKY PODIATRY, LLC NPI is 1518465020. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tievsky Foot & Ankle, Pllc.
The provider's business location address is:
15-01 BROADWAY STE 10B
FAIR LAWN, NJ
ZIP 07410-006
Phone: (833) 439-3668
Fax: (201) 537-6910
The provider's authorized official is Alex Tievsky .
The authorized official title is President and has the following contact phone number (718) 666-7119.
The enumeration date for this NPI number is 1/30/2018 and was last updated on 11/21/2023.