IREBO FOOT AND ANKLE SURGERY NPI 1720318652

NPI Information

NPI: 1720318652
Provider Name: IREBO FOOT AND ANKLE SURGERY
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
444 WILLIS AVE
BRONX, NY
ZIP 10455
Phone: (646) 633-1045
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IREBO FOOT AND ANKLE SURGERY is a podiatric clinic center in Bronx, NY. IREBO FOOT AND ANKLE SURGERY NPI is 1720318652. The provider is registered as an organization entity type.

The provider's business location address is:

444 WILLIS AVE
BRONX, NY
ZIP 10455-013
Phone: (646) 633-1045

The provider's authorized official is Olutunde Aina Shoniregun .
The authorized official title is Ceo/director and has the following contact phone number (646) 633-1045.

The enumeration date for this NPI number is 12/24/2009 and was last updated on 8/16/2012.

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
1	261QP1100X	Clinic/Center	Podiatric	006322	NEW YORK	Yes

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: 11/14/2023

NPI Synchronization or Removal

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