Provider Demographics
NPI:1194586891
Name:TRED FOOT AND ANKLE CARE PLLC
Entity type:Organization
Organization Name:TRED FOOT AND ANKLE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AYOUB
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:212-810-9844
Mailing Address - Street 1:1410 BROADWAY RM 1102
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-9355
Mailing Address - Country:US
Mailing Address - Phone:212-810-9844
Mailing Address - Fax:929-207-3133
Practice Address - Street 1:1410 BROADWAY RM 1102
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-9355
Practice Address - Country:US
Practice Address - Phone:212-810-9844
Practice Address - Fax:929-207-3133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty