MEDICARE: NYC FOOT & ANKLE OBS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center	NA	NY

General Provider Information

NPI Number	:	1427116599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NYC FOOT & ANKLE OBS, PC

Provider Business Mailing Address
First Line	:	133 E 54TH ST RM 2E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4538
Country	:	US
Telephone Number	:	212-759-9090
Fax Number	:	212-371-2830

Provider Business Practice Location Address
First Line	:	133 E 54TH ST RM 2E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4538
Country	:	US
Telephone Number	:	212-759-9090
Fax Number	:	212-371-2830

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. HOWARD RICHARD SHAPIRO
Credential	:	DPM
Telephone Number	:	212-759-9090

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	08/22/2020

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