| Kings Park Podiatry Pllc | |
|
160 E Northport Rd, Kings Park, NY 11754-2541 | |
| (631) 269-6060 | |
| (631) 269-7173 |
| Full Name | Kings Park Podiatry Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 160 E Northport Rd, Kings Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689171324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | N005196 (New York) | Primary |
| Provider Name | Gail F Garofalo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134205776 PECOS PAC ID: 4284685405 Enrollment ID: I20090831000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Kings Park Podiatry Pllc 160 E Northport Rd, Kings Park, NY 11754-2541 Ph: (631) 269-6060 | Kings Park Podiatry Pllc 160 E Northport Rd, Kings Park, NY 11754-2541 Ph: (631) 269-6060 |
Joseph Sebastian Lobianco, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 8 Ravenwood Dr, Kings Park, NY 11754 Phone: 631-361-5445 Fax: 631-361-9163 | |
Mr. Stephen Bradley Ravitz, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 63 Main Street, Kings Park, NY 11754 Phone: 631-269-4600 Fax: 631-269-0801 | |
Suffolk County Foot Care Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Kings Park, NY 11754 Phone: 631-269-4600 Fax: 631-269-0801 |