Elite Podiatry P.c.

NPI 1073848743 - Podiatrist - 213ES0103X

NPI Details
NPI 1073848743
Enumeration Date 10/13/2009
Last Updated 09/11/2014
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name STACEY K. STACEY
Position PODIATRIST
Phone (631) 271-2491
Fax (631) 271-2608
Practice Location
158 E MAIN ST
SUITE 2
HUNTINGTON NY, 11743-2988, US
Phone (631) 271-2491
Fax (631) 271-2608
Business Location
158 E MAIN ST
SUITE 2
HUNTINGTON NY, 11743-2988, US
Phone (631) 271-2491
Fax (631) 271-2608
Toxanomy
Taxonomy Code 213ES0103X
License State New York
License Number 60006253
Remove 1073848743 NPI Number
 

According to our database, Elite Podiatry P.c. NPI is 1073848743, taxonomy code is 213ES0103X and license number is 60006253, license state is located at New York. Elite Podiatry P.c. physically located at 158 E Main St, Huntington NY, 11743-2988. NPI Number 1033115704 has the healthcare provider type.

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1073848743 NPI number is provided on an as is basis without warranty of any kind. 1073848743 is maintained by the National Plan & Provider Enumeration System. The contents of Elite Podiatry P.c. are for informational purposes only.