Provider Demographics
NPI:1578306007
Name:TO HEALTHY FEET -C LLC
Entity type:Organization
Organization Name:TO HEALTHY FEET -C LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:718-450-4277
Mailing Address - Street 1:210 E 73RD ST APT 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4390
Mailing Address - Country:US
Mailing Address - Phone:917-398-3668
Mailing Address - Fax:
Practice Address - Street 1:210 E 73RD ST APT 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4390
Practice Address - Country:US
Practice Address - Phone:917-398-3668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TO HEALTHY FEET PODIATRY PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-13
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty