Provider Demographics
NPI:1780070458
Name:HAPPY AND HEALTHY FEET
Entity type:Organization
Organization Name:HAPPY AND HEALTHY FEET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ILVIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ATRI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:201-894-8861
Mailing Address - Street 1:57 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:HAWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07641-1920
Mailing Address - Country:US
Mailing Address - Phone:917-620-9187
Mailing Address - Fax:201-894-5140
Practice Address - Street 1:57 HARRISON ST
Practice Address - Street 2:
Practice Address - City:HAWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07641-1920
Practice Address - Country:US
Practice Address - Phone:917-620-9187
Practice Address - Fax:201-894-5140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00312800213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty