Organization · NPI-2

Faithful Steps Podiatry PC

Podiatrist · Bay Shore, NY

NPI number1760511968
StatusActive
Last updated in NPPESMar 13, 2012

Details

NPI
1760511968
Entity type
Organization (NPI-2)
Legal business name
Faithful Steps Podiatry PC
Organization subpart
No
Enumeration date
Mar 5, 2007
Last updated
Mar 13, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X PodiatristN005930NYYes

Practice location

40 E Main St
Bay Shore, NY 11706-8301

Phone 631-665-5200 · Fax 631-665-4360

Mailing address

40 E Main St
Bay Shore, NY 11706-8301

Phone 631-665-5200 · Fax 631-665-4360

Authorized official

Esther Hansen
President
6316655200

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Podiatrist providers in Bay Shore, NY