# WALL STREET FOOT GROUP

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

## Provider details

- **NPI number:** 1932557071
- **Authorized official:** GREGG GREENBLATT DPM (PRESIDENT)
- **Authorized official phone:** (212) 792-9494

## Contact information

- **Practice address:** 30 BROAD ST, SUITE 2005, NEW YORK, NY 10004-2304
- **Practice address phone:** (212) 792-9494
- **Mailing address:** 30 BROAD ST, SUITE 2005, NEW YORK, NY 10004-2304
- **Mailing address phone:** (212) 792-9494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 005193 | NY | Yes |

## Other

- **Enumeration date:** 05/31/2016
- **Last updated:** 05/31/2016