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Organization
FRESH POND PODIATRY PLLC
Active
Organization
FRESH POND PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VITO LAPUMA DPM (OWNER)
(718) 386-5100
Entity
Organization
Contact information
Practice address
6094 PUTNAM AVE, RIDGEWOOD, NY 11385-4555
(718) 386-5100
Mailing address
6094 PUTNAM AVE, RIDGEWOOD, NY 11385-4555
(718) 386-5100
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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