SOUTH FORK PODIATRY PC NPI 1528149267

NPI Information

  • NPI: 1528149267
  • Provider Name: SOUTH FORK PODIATRY PC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHFORK PODIATRY PC
  • Address: 23 W MONTAUK HWY
    HAMPTON BAYS, NY
    ZIP 11946
  • Phone: (631) 728-4040

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NPI Details

SOUTH FORK PODIATRY PC is a podiatrist in Hampton Bays, 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. SOUTH FORK PODIATRY PC NPI is 1528149267. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southfork Podiatry Pc.

The provider's business location address is:

23 W MONTAUK HWY
HAMPTON BAYS, NY
ZIP 11946-001
Phone: (631) 728-4040
Fax: (631) 728-4042

The provider's authorized official is Michael Katz .
The authorized official title is Partner and has the following contact phone number (631) 728-4040.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 1/23/2019.

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
1213E00000XPodiatristYes

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: 11/21/2025

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