Organization · Type 2 NPI

Integrated Foot and Ankle Specialists of PA LLC

Podiatric Clinic/Center · Morgantown, PA

NPI number 1659137685 Active

Practice location

3057A Main St
Morgantown, PA 19543

Call (610) 286-6340 Map

Mailing address

50 S 16th St Fl 17
Philadelphia, PA 19102-3530

Specialties and licenses

Taxonomy	Code	License
Podiatric Clinic/Center Primary	261QP1100X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed

Podiatric Clinic/Center: Definition to come...

NPI record

NPI: 1659137685
Entity type: Organization (Type 2)
Issued: Feb 27, 2024
Last updated: Feb 28, 2024
Status: Active
Subpart: Yes of Integrated Foot and Ankle Specialists of PA LLC

Other names

Berkshire Podiatry · doing business as

Authorized official

Teresa Leonarda Ciaccio
Chief Operating Officer
(516) 993-8666

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659137685

Integrated Foot and Ankle Specialists of PA LLC's National Provider Identifier is 1659137685, issued on Feb 27, 2024. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Morgantown, PA. The record was last updated on Feb 28, 2024.