National Provider Identifier Database

AMITYVILLE PODIATRY ASSOCIATES PC
Podiatrist

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.


Contact Information

AMITYVILLE PODIATRY ASSOCIATES PC
77 BROADWAY
AMITYVILLE, NY11701
Phone: 631-691-6060
Fax: 631-691-0920
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for AMITYVILLE PODIATRY ASSOCIATES PC

NPI Number 1497859664
Legal business name
LBN
AMITYVILLE PODIATRY ASSOCIATES PC
Authorized official EDWARD DAMICO - (PODIATRIST PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/11/2006
Last updated 04/25/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: N003837
  • NY Medicaid: 00907960

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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