Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Mountain Family Podiatry PC

Organization Foot & Ankle Surgery Podiatrist · NPI 1407909039

Green Mountain Family Podiatry PC is a Foot & Ankle Surgery Podiatrist in Whitehall, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

212 Broadway
Whitehall, NY 12887-1639
Phone: (518) 499-9264
Fax: (518) 499-9247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 003568 (NY)

Record details

NPI number1407909039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Irizarry — Owner-President · (518) 499-9264
NPI enumeratedJanuary 18, 2007
Last updated in NPPESJune 21, 2018
Mailing address212 Broadway, Whitehall, NY 12887-1639