Healthcare Provider Details

I. General information

NPI: 1710800818
Provider Name (Legal Business Name): STEPWISE PODIATRY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 BROADWAY STE 805
NEW YORK NY
10023-5882
US

IV. Provider business mailing address

1995 BROADWAY STE 805
NEW YORK NY
10023-5882
US

V. Phone/Fax

Practice location:
  • Phone: 917-261-4291
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: ADA LEE
Title or Position: BILLING SPECIALIST
Credential:
Phone: 917-261-4291