David J. Ellenbogen Podiatry, PC

NPI #1558799502 in Commack, New York

Provider Information

NPI Number: 1558799502
Entity Type: Organization
Organization Name: David J. Ellenbogen Podiatry, PC
Primary Specialty: Podiatrist
Enumeration Date: Oct 29, 2013
Last Updated: Nov 5, 2013

Practice Location

Address: 358 VETERANS MEMORIAL HWY
Address 2: #11
City: Commack
State: New York
ZIP Code: 11725-4326
Phone: (631) 543-8844

Authorized Official

Name: DAVID J ELLENBOGEN, DPM
Title: PRESIDENT
Phone: (631) 543-8844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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