Amityville Podiatry Associates PC
Podiatrist in Amityville, NY. Organization (NPI-2).
NPI number1497859664
StatusActive
Last updated in NPPESApr 25, 2014
Details
- NPI
- 1497859664
- Entity type
- Organization (NPI-2)
- Legal business name
- Amityville Podiatry Associates PC
- Organization subpart
- No
- Enumeration date
- Sep 11, 2006
- Last updated
- Apr 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | N003837 | NY | Yes |
Practice location
77 BroadwayAmityville, NY 11701
Phone 631-691-6060 · Fax 631-691-0920
Mailing address
77 BroadwaySuite 6
Amityville, NY 11701-2785
Phone 631-691-6060 · Fax 631-691-0920
Authorized official
Edward Leonard Damico
Podiatrist President
6316916060
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