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Contact Information

AMITYVILLE PODIATRY ASSOCIATES PC
77 BROADWAY
AMITYVILLE, NY11701
 Phone: 631-691-6060
 Fax: 631-691-0920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for AMITYVILLE PODIATRY ASSOCIATES PC · (Female)

NPI Number 1497859664
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2006
Last updated 04/25/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # N003837
  • NY Medicaid 00907960
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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