SUFFOLK PODIATRY PC NPI 1790882983

NPI Information

NPI: 1790882983
Provider Name: SUFFOLK PODIATRY PC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
111 CARLETON AVE
SUITE 5
ISLIP TERRACE, NY
ZIP 11752
Phone: (631) 581-8822
Get Directions

SUFFOLK PODIATRY PC is a foot surgery podiatrist in Islip Terrace, NY. SUFFOLK PODIATRY PC NPI is 1790882983. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 CARLETON AVE
SUITE 5
ISLIP TERRACE, NY
ZIP 11752-236
Phone: (631) 581-8822
Fax: (631) 581-0857

The provider's authorized official is Peter Cutler .
The authorized official title is President and has the following contact phone number (631) 581-8822.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/4/2010.

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	213ES0131X	Podiatrist	Foot Surgery			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	4784750001	MEDICARE NSC	NEW YORK
2	PAWE51	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	GROUP PROVIDER NO.

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: 4/28/2024

NPI Synchronization or Removal

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