WEST ISLIP FOOT CARE PC NPI 1194802827

NPI Information

NPI: 1194802827
Provider Name: WEST ISLIP FOOT CARE PC
Classification: Podiatrist - 213ES0000X
Entity Type: Organization

Specialization: Sports Medicine

Address:
212 HIGBIE LN
SUITE #2
WEST ISLIP, NY
ZIP 11795
Phone: (631) 661-7400
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WEST ISLIP FOOT CARE PC is a sports medicine podiatrist in West Islip, NY. WEST ISLIP FOOT CARE PC NPI is 1194802827. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

212 HIGBIE LN
SUITE #2
WEST ISLIP, NY
ZIP 11795-827
Phone: (631) 661-7400
Fax: (631) 661-3958

The provider's authorized official is Bernadette Hayes .
The authorized official title is Mgr and has the following contact phone number (631) 661-7400.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 2/26/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0000X	Podiatrist	Sports Medicine	N003452	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WZZRQ1	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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