institution
Long Island Foot Specialist P C
Foot Surgery Podiatrist in Lindenhurst, New York
NPI 1629166483

Long Island Foot Specialist P C is a Foot Surgery Podiatrist based in Huntington Station, NY and is specialized in Foot Surgery. Long Island Foot Specialist P C practices in Lindenhurst, NY. The NPI Number for Long Island Foot Specialist P C is 1629166483 and holds a License No. N0059441 (New York).

The current practice location address for Long Island Foot Specialist P C is 481 W Montauk Hwy, Lindenhurst, NY and can be reached out via phone at 631-226-3668.

Location: 481 W Montauk Hwy, Lindenhurst, NY, 11746-0169
institution
Provider Profile Details
NPI Number
1629166483
Provider Name
Long Island Foot Specialist P C
Credential
Provider Entity Type
Organization
Address
481 W Montauk Hwy, Lindenhurst, NY, 11746-0169
Phone Number
631-226-3668
Fax Number
Provider Enumeration Date
10/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PJ108PEA81 01 NY INDIVIDUAL PIN - LIFS
PJ1081 01 NY INDIVIDUAL PIN - TODD L.
PEWA81 01 NY GROUP PIN - LIFS
institution
Provider Business Practice Location Address Details
Address
481 W Montauk Hwy
City
State
Zip
11757-5528
Phone Number
631-226-3668
Fax Number
person
Provider Business Mailing Address Details
Address
481 W Montauk Hwy
City
State
Zip
11757-5528
Phone Number
631-226-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
N0059441 (New York)
Definition
Definition to come...
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