Healthcare Provider Details

I. General information

NPI: 1699772822
Provider Name (Legal Business Name): ASSOCIATES IN FOOT & ANKLE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 YOUNGSTOWN WARREN RD UNIT 1A
NILES OH
44446-4649
US

IV. Provider business mailing address

1250 YOUNGSTOWN WARREN RD UNIT 1A
NILES OH
44446-4649
US

V. Phone/Fax

Practice location:
  • Phone: 330-544-4141
  • Fax: 330-544-4134
Mailing address:
  • Phone: 330-544-4141
  • Fax: 330-544-4134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number36002787M
License Number StateOH

VIII. Authorized Official

Name: DR. JEFFREY TODD MOLINARO
Title or Position: PRESIDENT
Credential: DPM, FACFAS
Phone: 330-544-4141