Northeast Podiatry Assoc Pc

NPI 1417081050 - Podiatrist - 213E00000X

NPI Details
NPI 1417081050
Enumeration Date 03/15/2007
Last Updated 03/18/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEFFREY J JEFFREY
Position PRESIDENT
Phone (631) 266-2220
Fax (631) 266-5119
Practice Location
1172 5TH AVE
EAST NORTHPORT NY, 11731-2631, US
Phone (631) 266-2220
Fax (631) 266-5119
Business Location
1172 5TH AVE
EAST NORTHPORT NY, 11731-2631, US
Phone (631) 266-2220
Fax (631) 266-5119
Toxanomy
Taxonomy Code 213E00000X
License State
License Number
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According to our database, Northeast Podiatry Assoc Pc NPI is 1417081050, taxonomy code is 213E00000X Northeast Podiatry Assoc Pc physically located at 1172 5th Ave, East Northport NY, 11731-2631. NPI Number 1033115704 has the healthcare provider type.

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1417081050 NPI number is provided on an as is basis without warranty of any kind. 1417081050 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Podiatry Assoc Pc are for informational purposes only.