Provider Demographics
NPI:1942772413
Name:FOOT AND ANKLE CENTERS OF NEW YORK
Entity Type:Organization
Organization Name:FOOT AND ANKLE CENTERS OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:VITO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:585-797-5828
Mailing Address - Street 1:45 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:LE ROY
Mailing Address - State:NY
Mailing Address - Zip Code:14482-1530
Mailing Address - Country:US
Mailing Address - Phone:585-797-5828
Mailing Address - Fax:
Practice Address - Street 1:45 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:LE ROY
Practice Address - State:NY
Practice Address - Zip Code:14482-1530
Practice Address - Country:US
Practice Address - Phone:585-797-5828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty