Healthcare Provider Details

I. General information

NPI: 1225697352
Provider Name (Legal Business Name): HEALTHY STEPS PODIATRY CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2019
Last Update Date: 06/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 E CHOCOLATE AVE STE 3
HERSHEY PA
17033-1310
US

IV. Provider business mailing address

431 E CHOCOLATE AVE STE 3
HERSHEY PA
17033-1310
US

V. Phone/Fax

Practice location:
  • Phone: 607-222-1349
  • Fax:
Mailing address:
  • Phone: 607-222-1349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. DIANE BRAY
Title or Position: PODIATRIST/OWNER
Credential: DPM
Phone: 607-222-1348