Podiatry Services Of Ithaca P.C.

LBN: Podiatry Services Of Ithaca P.C.
Podiatry Services Of Ithaca P.C. is an health care organization with primary practice located at 2255 N Triphammer Rd , Ithaca NY 14850-1576. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Podiatry Services Of Ithaca P.C. can be contacted via phone (607) 257-8877, or through Villagonzalo, Victor O via phone (607) 257-8877.

Contact Information

Primary practice address
2255 N Triphammer Rd Ithaca NY 14850-1576
Phone: (607) 257-8877
Fax: (607) 257-8879
Website:
Map and Directions
Authorized official contact:
Name: Villagonzalo, Victor O Doctor of Podiatric Medicine (DPM)
Phone: (607) 257-8877

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N005881 New York

Profile Details

NPI number 1447419155
LBN Legal business name Podiatry Services Of Ithaca P.C.
DBA Doing business as
Authorized official Villagonzalo, Victor O Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2008
Last updated Apr 7th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447419155 NPPES
New York MEDICAID 03034237
New York Other 3130290001
New York MEDICAID 02862408

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