Advance Foot Works LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N05881 Issued in NY

Legal business name

ADVANCE FOOT WORKS LLC

Practice address

408 E Upland Rd
Ithaca, NY 14850-2527

Phone

(917) 903-7116

NPI assigned

Feb 26, 2008

Last updated

Feb 26, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victor Villagonzalo, DPM

Title

Podiatrist

Phone

(917) 903-7116

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1407025182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E UPLAND RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502527",
            "telephone_number": "917-903-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E UPLAND RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148502527",
            "telephone_number": "917-903-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE FOOT WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "VILLAGONZALO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "917-903-7116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N05881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.