Organization · Type 2 NPI
Long Island Podiatry PC
Primary Podiatric Medicine Podiatrist · Southold, NY
NPI number
1063669430
Active
Practice location
56340 Main Road
Southold, NY 11725-3805
Mailing address
5 Evelyn Dr
Commack, NY 11725-3805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | N004211 (NY) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1063669430
Long Island Podiatry PC's National Provider Identifier is 1063669430, issued on Aug 27, 2008. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Southold, NY. The record was last updated on Apr 10, 2013.