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Maria Ellise Natividad, DPM
Foot & Ankle Surgery Podiatrist in Northport, New York
NPI 1477849529

Maria Ellise Natividad is a Foot & Ankle Surgery Podiatrist based in Northport, NY and is specialized in Foot & Ankle Surgery. Maria Ellise Natividad practices in Northport, NY and has the professional credentials of DPM. The NPI Number for Maria Ellise Natividad is 1477849529 and holds a License No. 390200000X (New York).

The current practice location address for Maria Ellise Natividad is 79 Middleville Rd, Northport, NY and can be reached out via phone at 631-261-4400.

Location: 79 Middleville Rd, Northport, NY, 11768-0201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477849529
Provider Name
Maria Ellise Natividad
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
79 Middleville Rd, Northport, NY, 11768-0201
Phone Number
631-261-4400
Fax Number
Provider Enumeration Date
06/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
79 Middleville Rd
City
Northport
State
New York
Zip
11768-2200
Phone Number
631-261-4400
Fax Number
person
Provider Business Mailing Address Details
Address
79 Middleville Rd
City
Northport
State
New York
Zip
11768-2200
Phone Number
631-261-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
390200000X (New York)
Definition
Definition to come...
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