Organization
WALL STREET PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST LEVI (OWNER)
(201) 745-5773
Entity
Organization
Contact information
Practice address
65 BROADWAY, UNIT 1103, NEW YORK, NY 10006-2503
(201) 745-5773
Mailing address
65 BROADWAY, UNIT 1103, NEW YORK, NY 10006-2503
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004184-1
NY
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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