Healthcare Provider Details

I. General information

NPI: 1750585295
Provider Name (Legal Business Name): ASSOCIATES IN PODIATRY INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 MAIN ST UNIT 23
EAST GREENWICH RI
02818-3164
US

IV. Provider business mailing address

1050 MAIN ST UNIT 23
EAST GREENWICH RI
02818-3164
US

V. Phone/Fax

Practice location:
  • Phone: 401-885-6090
  • Fax: 401-885-6091
Mailing address:
  • Phone: 401-885-6090
  • Fax: 401-885-6091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberDPM247
License Number StateRI

VIII. Authorized Official

Name: DR. THOMAS E MANCINI
Title or Position: OWNER
Credential: DPM FAC FAS
Phone: 401-885-6090