Ny Foot & Ankle Specialist Dpm Pc | |
620 Suffolk Ave, Brentwood, NY 11717 | |
(631) 231-1401 | |
(631) 273-0125 |
Full Name | Ny Foot & Ankle Specialist Dpm Pc |
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Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 620 Suffolk Ave, Brentwood, 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 |
---|---|---|---|
1851472419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | N005635 (New York) | Primary |
Provider Name | Peter Mancuso |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1558339200 PECOS PAC ID: 6204820509 Enrollment ID: I20040410000118 |
Provider Name | Robert Stuke |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1366947806 PECOS PAC ID: 1759625353 Enrollment ID: I20210720000127 |
Provider Name | Kevin Kyuwan Shim |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1184116584 PECOS PAC ID: 8224441191 Enrollment ID: I20230710002361 |
Mailing Address | Practice Location Address |
---|---|
Ny Foot & Ankle Specialist Dpm Pc 620 Suffolk Ave, Brentwood, NY 11717-4306 Ph: (631) 231-1401 | Ny Foot & Ankle Specialist Dpm Pc 620 Suffolk Ave, Brentwood, NY 11717 Ph: (631) 231-1401 |
Kevin Shim, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-968-5600 | |
Ny Foot & Ankle Specialists Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-1401 | |
Dr. Peter John Mancuso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-1401 Fax: 631-273-0125 | |
Optimum Podiatry Group Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-968-5600 |