Provider Demographics
NPI:1568736270
Name:HEALTHY STEP PODIATRY, P.C.
Entity Type:Organization
Organization Name:HEALTHY STEP PODIATRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VITO
Authorized Official - Middle Name:
Authorized Official - Last Name:LA PUMA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-757-9361
Mailing Address - Street 1:16116 86TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3327
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:718-975-4337
Practice Address - Street 1:602 SCHENECTADY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-1821
Practice Address - Country:US
Practice Address - Phone:718-757-9361
Practice Address - Fax:718-975-3447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-27
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006338261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100065150Medicare PIN