Park Ave Podiatric Foot Surgery Suite

Specialty details in registry · New York, NY

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At a glance

133 E 54Th St, New York, NY 10022-4538

NPPES record updated Mar 16, 2017. Public records can lag behind changes at a practice.

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Practice location

133 E 54Th St Ste 2A
New York, NY 10022-4538
Professional details: NPI, taxonomy & registry record
NPI1861939589
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QA1903X
Enumeration date
Jan 20, 2017
Record updated
Mar 16, 2017
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QA1903X · Primary

License reported: CERT# 436684 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

133 E 54Th St
Ste 2A
New York, NY 10022-4538
Phone
(212) 759-9090
Mailing address
133 E 54TH ST
STE 2A
NEW YORK, NY 100224538
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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