Individual provider · Type 1 NPI
Maria Ellise Natividad, DPM
Foot & Ankle Surgery Podiatrist · Northport, NY
NPI number
1477849529
Active
Practice location
79 Middleville Rd
Northport, NY 11768-2200
Mailing address
PO Box 201
Northport, NY 11768-0201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 390200000X (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1477849529
Maria Ellise Natividad, DPM's National Provider Identifier is 1477849529, issued on Jun 27, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Northport, NY. The record was last updated on Jun 27, 2011.