Northeast Podiatry Assoc PC
NPI #1417081050 in East Northport, New York
Provider Information
- NPI Number
- 1417081050
- Entity Type
- Organization
- Organization Name
- Northeast Podiatry Assoc PC
- Primary Specialty
- Podiatrist
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Mar 18, 2008
Practice Location
- Address
- 1172 5TH AVE
- City
- East Northport
- State
- New York
- ZIP Code
- 11731-2631
- Phone
- (631) 266-2220
Authorized Official
- Name
- JEFFREY J CUSACK, DPM
- Title
- PRESIDENT
- Phone
- (631) 266-2220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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