| Fresh Pond Podiatry Pllc | |
|
6094 Putnam Ave, Ridgewood, NY 11385-4555 | |
| (718) 386-5100 | |
| Not Available |
| Full Name | Fresh Pond Podiatry Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 6094 Putnam Ave, Ridgewood, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457129207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Vito Lapuma |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790018059 PECOS PAC ID: 5294872834 Enrollment ID: I20091030000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Pond Podiatry Pllc 6094 Putnam Ave, Ridgewood, NY 11385-4555 Ph: (718) 386-5100 | Fresh Pond Podiatry Pllc 6094 Putnam Ave, Ridgewood, NY 11385-4555 Ph: (718) 386-5100 |
Dr. Manjula Warad Shivputra, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17-31 60th Lane, Apt #311, Ridgewood, NY 11385 Phone: 347-398-7787 | |
Dr. Paul Damian Giovinco, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7127 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-821-4097 | |
Dr. Karen Marie Aglietti, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6412 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-497-3000 Fax: 718-497-3335 | |
Daniel Alan Chaskin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 63-48 Forest Avenue, Ridgewood, NY 11385 Phone: 718-417-4895 | |
Middle Village Podiatry, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6412 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-497-3000 Fax: 718-497-3335 |