ISLAND PODIATRY PC NPI 1962467316

NPI Information

NPI: 1962467316
Provider Name: ISLAND PODIATRY PC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
1575 HILLSIDE AVE
STE 104
NEW HYDE PARK, NY
ZIP 11040
Phone: (516) 775-3544
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ISLAND PODIATRY PC is a podiatric clinic center in New Hyde Park, NY. ISLAND PODIATRY PC NPI is 1962467316. The provider is registered as an organization entity type.

The provider's business location address is:

1575 HILLSIDE AVE
STE 104
NEW HYDE PARK, NY
ZIP 11040-501
Phone: (516) 775-3544
Fax: (516) 775-3323

The provider's authorized official is Gary F Stones .
The authorized official title is Vp Treasurer and has the following contact phone number (516) 775-3544.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 11/18/2009.

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	261QP1100X	Clinic/Center	Podiatric			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	4713100001	MEDICARE NSC	NEW YORK
2	POW181	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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