Gold Coast Podiatry, Pc

NPI 1083919286 - Podiatrist - 213ES0131X

NPI Details
NPI 1083919286
Enumeration Date 01/19/2011
Last Updated 01/19/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name WENDY S. WENDY
Position OWNER
Phone (631) 265-7777
Fax (631) 265-7778
Practice Location
319 MIDDLE COUNTRY RD
SUITE 5
SMITHTOWN NY, 11787-2819, US
Phone (631) 265-7777
Fax (631) 265-7778
Business Location
319 MIDDLE COUNTRY RD
SUITE 5
SMITHTOWN NY, 11787-2819, US
Phone (631) 265-7777
Fax (631) 265-7778
Toxanomy
Taxonomy Code 213ES0131X
License State New York
License Number N005995
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According to our database, Gold Coast Podiatry, Pc NPI is 1083919286, taxonomy code is 213ES0131X and license number is N005995, license state is located at New York. Gold Coast Podiatry, Pc physically located at 319 Middle Country Rd, Smithtown NY, 11787-2819. NPI Number 1033115704 has the healthcare provider type.

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1083919286 NPI number is provided on an as is basis without warranty of any kind. 1083919286 is maintained by the National Plan & Provider Enumeration System. The contents of Gold Coast Podiatry, Pc are for informational purposes only.