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Organization

FIFTH AVENUE PODIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANA COUTO (OFFICE MANAGER)
(917) 660-1346
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
11/15/2024
Last updated
03/10/2025
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