PROGRESSIVE PODIATRY & FOOT SURGERY PLLC NPI 1134671167

NPI Information

  • NPI: 1134671167
  • Provider Name: PROGRESSIVE PODIATRY & FOOT SURGERY PLLC
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Organization
  • :
  • Address: 19 W 34TH ST
    SUITE 608
    NEW YORK, NY
    ZIP 10001
  • Phone: (212) 244-7670

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NPI Details

PROGRESSIVE PODIATRY & FOOT SURGERY PLLC is a foot surgery podiatrist in New York, NY. PROGRESSIVE PODIATRY & FOOT SURGERY PLLC NPI is 1134671167. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

19 W 34TH ST
SUITE 608
NEW YORK, NY
ZIP 10001-006
Phone: (212) 244-7670
Fax: (212) 244-3174

The provider's authorized official is Behrooz Mandanipour .
The authorized official title is Ceo and has the following contact phone number (212) 244-7670.

The enumeration date for this NPI number is 10/25/2016 and was last updated on 1/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot Surgery005601NEW YORKYes

What is NPI?

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This page was last updated on: 3/30/2025

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