| Podiatry Services Of Ithaca P.c. | |
|
2255 N Triphammer Rd, Ithaca, NY 14850-1576 | |
| (607) 257-8877 | |
| (607) 257-8879 |
| Full Name | Podiatry Services Of Ithaca P.c. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 2255 N Triphammer Rd, Ithaca, 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 |
|---|---|---|---|
| 1447419155 | NPI | - | NPPES |
| 03034237 | Medicaid | NY | |
| 3130290001 | Other | FL | ARC |
| 02862408 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | N005881 (New York) | Primary |
| Provider Name | Victor O Villagonzalo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1326027426 PECOS PAC ID: 2264531839 Enrollment ID: I20070621000630 |
| Mailing Address | Practice Location Address |
|---|---|
| Podiatry Services Of Ithaca P.c. 2255 N Triphammer Rd, Ithaca, NY 14850-1576 Ph: (607) 257-8877 | Podiatry Services Of Ithaca P.c. 2255 N Triphammer Rd, Ithaca, NY 14850-1576 Ph: (607) 257-8877 |
Jeffrey P Kadlecik, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2333 N Triphammer Rd, Suite 202, Ithaca, NY 14850 Phone: 607-257-7700 Fax: 607-257-1237 | |
Mary Ellen Smoolca, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 406 Second Street, Ithaca, NY 14850 Phone: 607-272-9223 Fax: 607-272-7631 | |
Dr. Victor Villagonzalo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2255 N Triphammer Rd, Ithaca, NY 14850 Phone: 607-257-8877 Fax: 607-257-8879 | |
Advance Foot Works Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 408 E Upland Rd, Ithaca, NY 14850 Phone: 917-903-7116 | |
Dr. Dennis Jay Gould, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 270 North Geneva St, Ithaca, NY 14850 Phone: 607-272-2610 | |
Dennis Gould Dpm Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 207 N Geneva St, Ithaca, NY 14850 Phone: 607-272-2610 Fax: 607-275-3266 |