South Island Podiatry Specialists,Pc

LBN: South Island Podiatry Specialists,Pc
South Island Podiatry Specialists,Pc is an health care organization with primary practice located at 1641 Route 112 , Medford NY 11763-3635. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. South Island Podiatry Specialists,Pc can be contacted via phone (631) 447-0800, or through Bodamer, Wayne Joseph via phone (631) 447-0800.

Contact Information

Primary practice address
1641 Route 112 Medford NY 11763-3635
Phone: (631) 447-0800
Fax: (631) 447-0801
Website:
Map and Directions
Authorized official contact:
Name: Bodamer, Wayne Joseph Doctor of Podiatric Medicine (DPM)
Phone: (631) 447-0800

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N0-3889 New York

Profile Details

NPI number 1376607713
LBN Legal business name South Island Podiatry Specialists,Pc
DBA Doing business as
Authorized official Bodamer, Wayne Joseph Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Jun 13th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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