Organization Name: | THE FOOT & ANKLE PODIATRY,PC |
NPI Number: | 1073650958 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUIS AQUINO (PRESIDENT) |
Mailing Address: | 929 Brighton Rd Tonawanda |
State: | NY US |
Postal Code: | 141508113 |
Phone Number: | 7168371500 |
Fax Number: | 7168370799 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | N004057-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |