National Provider Identifier
St Anns Podiatry PC
St Anns Podiatry PC is listed in the NPPES registry with a primary specialty of Podiatrist in Rochester, NY and a listed phone number of (585) 697-6337.
Profile Overview
- NPI
- 1801497862
- Provider Type
- Organization
- Primary Specialty
- Podiatrist
- Enumeration Date
- November 05, 2020
- Last Updated
- November 05, 2020
Practice Location
- 1500 Portland Ave
- Rochester, NY 14621-3065
Phone: (585) 697-6337
Specialties
- Podiatrist (213E00000X)
Full Record
- NPI
- 1801497862
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- St Anns Podiatry PC
- Mailing Street Address
- 1500 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3065
- Mailing Country
- US
- Mailing Phone
- (585) 697-6337
- Mailing Fax
- (585) 544-4226
- Practice Street Address
- 1500 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3065
- Practice Country
- US
- Practice Phone
- (585) 697-6337
- Practice Fax
- (585) 544-4226
- Enumeration Date
- November 05, 2020
- Last Updated
- November 05, 2020
- Authorized Official Last Name
- Samuels
- Authorized Official First Name
- Adelaida
- Authorized Official Title
- Director Of Ar
- Authorized Official Phone
- (585) 697-6337
- Organization Subpart
- No
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- November 05, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Podiatrist (213E00000X)