Organization · Type 2 NPI
Northport Podiatry PC
Foot & Ankle Surgery Podiatrist · Northport, NY
NPI number
1679745103
Active
Practice location
1032 Fort Salonga Rd
Northport, NY 11768-2208
Fax (631) 754-3367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | N005219 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1679745103
Northport Podiatry PC's National Provider Identifier is 1679745103, issued on Mar 25, 2008. 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 Feb 24, 2010.