South Shore Podiatry, Pllc

LBN: South Shore Podiatry, Pllc
South Shore Podiatry, Pllc is an health care organization with primary practice located at 20 Hicksville Rd Suite 2, Massapequa NY 11758-5819. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. South Shore Podiatry, Pllc can be contacted via phone (516) 744-0354, or through Patel, Mital B via phone (516) 590-7744.

Contact Information

Primary practice address
20 Hicksville Rd Suite 2 Massapequa NY 11758-5819
Phone: (516) 744-0354
Fax: (855) 959-1613
Website:
Map and Directions
Authorized official contact:
Name: Patel, Mital B Doctor of Podiatric Medicine (DPM)
Phone: (516) 590-7744

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N006053-1 New York

Profile Details

NPI number 1457735094
LBN Legal business name South Shore Podiatry, Pllc
DBA Doing business as
Authorized official Patel, Mital B Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2015
Last updated Mar 14th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457735094 NPPES
New York MEDICAID 02669029
New York Other A100127791
New York Other PK6781

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