LITE STEP PODIATRY WELLNESS PC NPI 1073878567

NPI Information

LITE STEP PODIATRY WELLNESS PC is a podiatrist in Wading River, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. LITE STEP PODIATRY WELLNESS PC NPI is 1073878567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6302 ROUTE 25A
WADING RIVER, NY
ZIP 11792-026
Phone: (631) 707-8771

The provider's authorized official is Patricia Nicholas .
The authorized official title is President and has the following contact phone number (631) 707-8771.

The enumeration date for this NPI number is 7/10/2012 and was last updated on 4/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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