# FIFTH AVENUE PODIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083438014
- **Authorized official:** ANA COUTO (OFFICE MANAGER)
- **Authorized official phone:** (917) 660-1346

## Contact information

- **Practice address:** 233 BROADWAY SUITE 1775, NEW YORK, NY 10279
- **Practice address phone:** (917) 660-1346
- **Mailing address:** PO BOX 50026, NEWARK, NJ 07101-4403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2024
- **Last updated:** 03/10/2025