Healthcare Provider Details

I. General information

NPI: 1487518494
Provider Name (Legal Business Name): SOLDANO FOOT AND ANKLE PODIATRY PLLC, DBA SOLDANO FOOT AND ANKLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 ELLICOTT CREEK RD
TONAWANDA NY
14150-2935
US

IV. Provider business mailing address

1540 ELLICOTT CREEK RD
TONAWANDA NY
14150-2935
US

V. Phone/Fax

Practice location:
  • Phone: 716-695-2244
  • Fax:
Mailing address:
  • Phone: 716-695-2244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: SPENSER SOLDANO
Title or Position: OWNER
Credential: DPM,AACFAS
Phone: 904-947-4909