# FIFTH AVE PODIATRIC SURGERY SUITE

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

## Provider details

- **NPI number:** 1649786377
- **Authorized official:** HOWARD SHAPIRO DPM (MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 759-9090

## Contact information

- **Practice address:** 133 E 54TH ST RM 2A, NEW YORK, NY 10022-4538
- **Practice address phone:** (212) 759-9090
- **Mailing address:** 133 E 54TH ST RM 2A, NEW YORK, NY 10022-4538

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 436684 | NY | Yes |

## Other

- **Enumeration date:** 12/18/2017
- **Last updated:** 12/18/2017