# FRESH POND PODIATRY PLLC

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

## Provider details

- **NPI number:** 1457129207
- **Authorized official:** VITO LAPUMA DPM (OWNER)
- **Authorized official phone:** (718) 386-5100

## Contact information

- **Practice address:** 6094 PUTNAM AVE, RIDGEWOOD, NY 11385-4555
- **Practice address phone:** (718) 386-5100
- **Mailing address:** 6094 PUTNAM AVE, RIDGEWOOD, NY 11385-4555
- **Mailing address phone:** (718) 386-5100

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2023
- **Last updated:** 12/12/2023