Provider Demographics
NPI:1043938764
Name:AIRE PODIATRY PLLC
Entity Type:Organization
Organization Name:AIRE PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPM
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-303-6206
Mailing Address - Street 1:110 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6504
Mailing Address - Country:US
Mailing Address - Phone:917-985-9082
Mailing Address - Fax:
Practice Address - Street 1:110 E 66TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6504
Practice Address - Country:US
Practice Address - Phone:917-985-9082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty