Provider Demographics
NPI:1841848777
Name:NEW YORK FOOT AND ANKLE PODIATRY, PLLC
Entity type:Organization
Organization Name:NEW YORK FOOT AND ANKLE PODIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:ORMONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-398-3266
Mailing Address - Street 1:369 LEXINGTON AVE RM 12B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6527
Mailing Address - Country:US
Mailing Address - Phone:917-398-3266
Mailing Address - Fax:
Practice Address - Street 1:115 BROADWAY FL 18
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006-1604
Practice Address - Country:US
Practice Address - Phone:917-398-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty