Organization Name: | FOOT & ANKLE PODIATRY ASSOCIATES, PC |
NPI Number: | 1235207275 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLENN DAVID WEINFELD (PRESIDENT AND OWNER) |
Mailing Address: | 1983 Crompond Rd Suite 102 Cortlandt Manor |
State: | NY US |
Postal Code: | 105674121 |
Phone Number: | 9147377474 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 02/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | N005939 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |