Little Neck Podiatry, P.c. | |
1149 Old Country Rd Ste B1, Riverhead, NY 11901-2060 | |
(631) 740-9549 | |
Not Available |
Full Name | Little Neck Podiatry, P.c. |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1149 Old Country Rd Ste B1, Riverhead, 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 |
---|---|---|---|
1326771213 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Bernadette Pupilla |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1891801494 PECOS PAC ID: 9133318405 Enrollment ID: I20110118001159 |
Mailing Address | Practice Location Address |
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Little Neck Podiatry, P.c. 1149 Old Country Rd Ste B1, Riverhead, NY 11901-2060 Ph: () - | Little Neck Podiatry, P.c. 1149 Old Country Rd Ste B1, Riverhead, NY 11901-2060 Ph: (631) 740-9549 |
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