institution
New Image Podiatry P.c.
Foot Surgery Podiatrist in Commack, New York
NPI 1952314148

New Image Podiatry P.c. is a Foot Surgery Podiatrist based in Commack, NY and is specialized in Foot Surgery. New Image Podiatry P.c. practices in Commack, NY. The NPI Number for New Image Podiatry P.c. is 1952314148 and holds a License No. N006167 (New York).

The current practice location address for New Image Podiatry P.c. is 6143 Jericho Tpke, Commack, NY and can be reached out via phone at 631-864-7380 and via fax at 631-864-7381.

Location: 6143 Jericho Tpke, Commack, NY, 11725-2809
institution
Provider Profile Details
NPI Number
1952314148
Provider Name
New Image Podiatry P.c.
Credential
Provider Entity Type
Organization
Address
6143 Jericho Tpke, Commack, NY, 11725-2809
Phone Number
631-864-7380
Fax Number
631-864-7381
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02832759 05 NY
07800 01 NY MEDICARE GHI
PDWF01 01 NY NATIONAL GOVERNMENT SERVICES(EMPIRE)
institution
Provider Business Practice Location Address Details
Address
6143 Jericho Tpke
City
State
Zip
11725-2809
Phone Number
631-864-7380
Fax Number
631-864-7381
person
Provider Business Mailing Address Details
Address
6143 Jericho Tpke
City
State
Zip
11725-2809
Phone Number
631-864-7380
Fax Number
631-864-7381
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
N006167 (New York)
Definition
Definition to come...
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