WALL STREET PODIATRY PC NPI 1154726479

NPI Information

NPI: 1154726479
Provider Name: WALL STREET PODIATRY PC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address: 65 BROADWAY
UNIT 1103
NEW YORK, NY
ZIP 10006
Phone: (201) 745-5773

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NPI Details

WALL STREET PODIATRY PC is a podiatrist in New York, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. WALL STREET PODIATRY PC NPI is 1154726479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65 BROADWAY
UNIT 1103
NEW YORK, NY
ZIP 10006-503
Phone: (201) 745-5773

The provider's authorized official is Ernest Levi .
The authorized official title is Owner and has the following contact phone number (201) 745-5773.

The enumeration date for this NPI number is 10/29/2014 and was last updated on 10/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		N004184-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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