Organization Name: | HAPPY AND HEALTHY FEET |
NPI Number: | 1780070458 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ILVIRA D'ATRI (PRESIDENT) |
Mailing Address: | 57 Harrison St Haworth |
State: | NJ US |
Postal Code: | 076411920 |
Phone Number: | 9176209187 |
Fax Number: | 2018945140 |
NPI Enumeration Date: | 04/09/2015 |
NPI Last Update Date: | 04/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00312800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |