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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

NPI # 1497859664
LBN Legal business name AMITYVILLE PODIATRY ASSOCIATES PC
Authorized official EDWARD DAMICO - (PODIATRIST PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2006
Last updated 04/25/2014 - About 12 years ago
Identifiers
NY License # N003837
NY Medicaid 00907960
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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