Organization · NPI-2

Discover Podiatry, P.C.

· Bay Shore, NY

NPI number1790965713
StatusActive
Last updated in NPPESNov 7, 2007

Details

NPI
1790965713
Entity type
Organization (NPI-2)
Legal business name
Discover Podiatry, P.C.
Organization subpart
No
Enumeration date
Nov 7, 2007
Last updated
Nov 7, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0131X 005107NYYes

Practice location

2111 Union Blvd
Bay Shore, NY 11706-8017

Phone 631-206-3106 · Fax 631-206-3108

Mailing address

21 Stacey Ln
Smithtown, NY 11787-2354

Phone 631-206-3106 · Fax 631-206-3108

Authorized official

Dana Barry Siegel
Owner/Ceo
6312063106

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 providers in Bay Shore, NY