Deer Park Podiatry
NPI #1205472818 in North Babylon, New York
Provider Information
- NPI Number
- 1205472818
- Entity Type
- Organization
- Organization Name
- Deer Park Podiatry
- Primary Specialty
- Podiatrist - Primary Podiatric Medicine
- Enumeration Date
- Nov 19, 2019
- Last Updated
- Nov 19, 2019
Practice Location
- Address
- 1428 DEER PARK AVE
- City
- North Babylon
- State
- New York
- ZIP Code
- 11703-1623
- Phone
- (631) 586-3388
Authorized Official
- Name
- MICHELE AHMADI, DPM
- Title
- OWNER
- Phone
- (631) 586-3388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine |
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