MEDICARE: EAST POINT FOOT & ANKLE 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	213ES0103X	Foot & Ankle Surgery Podiatrist

General Provider Information

NPI Number	:	1568096261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST POINT FOOT & ANKLE PC

Provider Business Mailing Address
First Line	:	250 N MAIN ST STE 102
Second Line	:
City	:	EAST LONGMEADOW
State	:	MA
Zip	:	01028-1834
Country	:	US
Telephone Number	:
Fax Number	:	413-525-5700

Provider Business Practice Location Address
First Line	:	250 N MAIN ST STE 102
Second Line	:
City	:	E LONGMEADOW
State	:	MA
Zip	:	01028-1834
Country	:	US
Telephone Number	:	413-525-5200
Fax Number	:	413-525-5700

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ELIZABETH SCHWARTZ
Credential	:	DPM
Telephone Number	:	413-525-5200

Provider Enumeration Date	:	03/03/2020
Last Update Date	:	08/20/2021

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