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PARK AVE PODIATRIC FOOT SURGERY SUITE NPI 1861939589


NPI Information

NPI: 1861939589
Provider Name: PARK AVE PODIATRIC FOOT SURGERY SUITE
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
133 E 54TH ST
STE 2A
NEW YORK, NY
ZIP 10022
Phone: (212) 759-9090
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PARK AVE PODIATRIC FOOT SURGERY SUITE is an ambulatory surgical clinic center in New York, NY. PARK AVE PODIATRIC FOOT SURGERY SUITE NPI is 1861939589. The provider is registered as an organization entity type.

The provider's business location address is:

133 E 54TH ST
STE 2A
NEW YORK, NY
ZIP 10022-538
Phone: (212) 759-9090

The provider's authorized official is Howard Shapiro .
The authorized official title is Medical Director and has the following contact phone number (212) 759-9090.

The enumeration date for this NPI number is 1/20/2017 and was last updated on 3/16/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalCERT# 436684NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1436684OTHERNEW YORKTHE JOINT COMMISSION

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: 4/28/2024

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