Provider Demographics
NPI:1902130537
Name:PRETTY FEET PODIATRY, P.C.
Entity type:Organization
Organization Name:PRETTY FEET PODIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.P.M.
Authorized Official - Prefix:
Authorized Official - First Name:TING
Authorized Official - Middle Name:TING
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-982-1762
Mailing Address - Street 1:94 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-2011
Mailing Address - Country:US
Mailing Address - Phone:201-982-1762
Mailing Address - Fax:718-445-3336
Practice Address - Street 1:3916 PRINCE ST STE 151
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5367
Practice Address - Country:US
Practice Address - Phone:718-445-3338
Practice Address - Fax:718-445-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006217-1213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6301940001Medicare NSC