Organization · Type 2 NPI
South Island Podiatry Specialists,pc
Foot & Ankle Surgery Podiatrist · Medford, NY
NPI number
1376607713
Active
Practice location
1641 Route 112
Medford, NY 11763-3635
Fax (631) 447-0801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | N0-3889 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
About NPI 1376607713
South Island Podiatry Specialists,pc's National Provider Identifier is 1376607713, issued on Dec 20, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Medford, NY. The record was last updated on Jun 13, 2008.