Organization
WESTSIDE PODIATRY CENTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WILLIAM FARRELL D.P.M. (OWNER PARTNER)
(315) 857-0140
Entity
Organization
Contact information
Practice address
5415 W GENESEE ST, SUITE 203, CAMILLUS, NY 13031-2162
(315) 701-3348
(315) 701-0949
Mailing address
8280 WILLETT PKWY, SUITE 101, BALDWINSVILLE, NY 13027-1325
(315) 857-0140
(315) 857-0144
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N003729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02554983
—
NY
Enumeration date
01/23/2007
Last updated
08/22/2020
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