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Lidpm Podiatry Pc
Foot & Ankle Surgery Podiatrist in Massapequa, New York
NPI 1528235058

Lidpm Podiatry Pc is a Foot & Ankle Surgery Podiatrist based in Massapequa, NY and is specialized in Foot & Ankle Surgery. Lidpm Podiatry Pc practices in Massapequa, NY. The NPI Number for Lidpm Podiatry Pc is 1528235058 and holds a License No. N005885-1 (New York).

The current practice location address for Lidpm Podiatry Pc is 17 Harrison Ave, Massapequa, NY and can be reached out via phone at 516-804-8229.

Location: 17 Harrison Ave, Massapequa, NY, 11758-7909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528235058
Provider Name
Lidpm Podiatry Pc
Credential
Provider Entity Type
Organization
Address
17 Harrison Ave, Massapequa, NY, 11758-7909
Phone Number
516-804-8229
Fax Number
Provider Enumeration Date
05/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17 Harrison Ave
City
Massapequa
State
New York
Zip
11758-7909
Phone Number
516-804-8229
Fax Number
person
Provider Business Mailing Address Details
Address
17 Harrison Ave
City
Massapequa
State
New York
Zip
11758-7909
Phone Number
516-804-8229
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
N005885-1 (New York)
Definition
Definition to come...
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