Organization · Type 2 NPI

Integrated Foot and Ankle Specialists of PA LLC

Podiatric Clinic/Center · Wynnewood, PA

NPI number 1700642709 Active

Practice location

100 E Lancaster Ave Ste 117
Wynnewood, PA 19096-3454

Call (610) 649-9662 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: 1700642709
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

Bryn Mawr Foot & Ankle Center · doing business as

Authorized official

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

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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 1700642709

Integrated Foot and Ankle Specialists of PA LLC's National Provider Identifier is 1700642709, issued on Feb 27, 2024. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Wynnewood, PA. The record was last updated on Feb 28, 2024.