Organization · Type 2 NPI
Gold Coast Podiatry, PC
Foot Surgery Podiatrist · Smithtown, NY
NPI number
1083919286
Active
Practice location
222 E Middle Country Rd Ste 200
Smithtown, NY 11787-2814
Fax (631) 265-7778
Mailing address
222 E Middle Country Rd Ste 5
Smithtown, NY 11787-2871
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | N005995 (NY) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot surgery podiatrist providers in Smithtown
About NPI 1083919286
Gold Coast Podiatry, PC's National Provider Identifier is 1083919286, issued on Jan 19, 2011. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Smithtown, NY. The record was last updated on Jul 27, 2021.