Provider Demographics
NPI:1447571542
Name:FOOT IN THE DOOR PODIATRY LLC
Entity Type:Organization
Organization Name:FOOT IN THE DOOR PODIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:WEIBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:845-489-2911
Mailing Address - Street 1:31 SPOOK HILL RD
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4218
Mailing Address - Country:US
Mailing Address - Phone:845-489-2911
Mailing Address - Fax:
Practice Address - Street 1:31 SPOOK HILL RD
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4218
Practice Address - Country:US
Practice Address - Phone:845-489-2911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-13
Last Update Date:2010-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006351-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty