Organization
PARK AVE PODIATRIC FOOT SURGERY SUITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD SHAPIRO D.P.M. (MEDICAL DIRECTOR)
(212) 759-9090
Entity
Organization
Contact information
Practice address
133 E 54TH ST, STE 2A, NEW YORK, NY 10022-4538
(212) 759-9090
Mailing address
133 E 54TH ST, STE 2A, NEW YORK, NY 10022-4538
(212) 759-9090
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
CERT# 436684
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
436684
THE JOINT COMMISSION
NY
Enumeration date
01/20/2017
Last updated
03/16/2017
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