institution
Suffolk County Foot Care Pllc
Podiatric Clinic/Center in Kings Park, New York
NPI 1114023660

Suffolk County Foot Care Pllc is a Podiatric Clinic/Center based in Kings Park, NY and is specialized in Podiatric. Suffolk County Foot Care Pllc practices in Kings Park, NY. The NPI Number for Suffolk County Foot Care Pllc is 1114023660 and holds a License No. (New York).

The current practice location address for Suffolk County Foot Care Pllc is 63 Main St, Kings Park, NY and can be reached out via phone at 631-269-4600 and via fax at 631-269-0801. You can also correspond with Suffolk County Foot Care Pllc through the mailing address at 63 MAIN ST, KINGS PARK, NY - 11754-2706 (mailing address contact number: 631-269-4600).

Location: 63 Main St, Kings Park, NY, 11754-2706
institution
Provider Profile Details
NPI Number
1114023660
Provider Name
Suffolk County Foot Care Pllc
Credential
Provider Entity Type
Organization
Address
63 Main St, Kings Park, NY, 11754-2706
Phone Number
631-269-4600
Fax Number
631-269-0801
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02216448 01 CAID
P55031 01 UNITED HEALTHCARE
01271269 01 CAID
2154835 01 UNITED HEALTHCARE
130904 01 VYTRA
CS267 01 OXFORD
9653126 01 GHI
P2654015 01 OXFORD
01271269 05 NY
19966 01 VYTRA
6299184 01 GHI
institution
Provider Business Practice Location Address Details
Address
63 Main St
City
State
Zip
11754-2706
Phone Number
631-269-4600
Fax Number
631-269-0801
person
Provider Business Mailing Address Details
Address
63 Main St
City
State
Zip
11754-2706
Phone Number
631-269-4600
Fax Number
631-269-0801
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
()
Definition
Definition to come...
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