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ADVANCE FOOT WORKS LLC NPI 1407025182


NPI Information

NPI: 1407025182
Provider Name: ADVANCE FOOT WORKS LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
408 E UPLAND RD
ITHACA, NY
ZIP 14850
Phone: (917) 903-7116
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ADVANCE FOOT WORKS LLC is a podiatrist in Ithaca, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ADVANCE FOOT WORKS LLC NPI is 1407025182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

408 E UPLAND RD
ITHACA, NY
ZIP 14850-527
Phone: (917) 903-7116

The provider's authorized official is Victor Villagonzalo .
The authorized official title is Podiatrist and has the following contact phone number (917) 903-7116.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 2/26/2008.


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
1213E00000XPodiatristN05881NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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