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Island Podiatry PC

Clinic/Center, Podiatric in New Hyde Park, NY. Organization (NPI-2).

NPI number1962467316
StatusActive
Last updated in NPPESNov 18, 2009

Details

NPI
1962467316
Entity type
Organization (NPI-2)
Legal business name
Island Podiatry PC
Organization subpart
No
Enumeration date
Apr 19, 2006
Last updated
Nov 18, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP1100X Clinic/Center, Podiatric––Yes

Practice location

1575 Hillside Ave
Ste 104
New Hyde Park, NY 11040-2501

Phone 516-775-3544 · Fax 516-775-3323

Mailing address

1575 Hillside Ave
Ste 104
New Hyde Park, NY 11040-2501

Phone 516-775-3544 · Fax 516-775-3323

Authorized official

Gary F Stones
Vp Treasurer
5167753544

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