# ELITE PODIATRY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073848743
- **Authorized official:** DR. STACEY K. BAPTISTE D.P.M. (PODIATRIST)
- **Authorized official phone:** (631) 271-2491

## Contact information

- **Practice address:** 158 E MAIN ST, SUITE 2, HUNTINGTON, NY 11743-2988
- **Practice address phone:** (631) 271-2491
- **Practice address fax:** (631) 271-2608
- **Mailing address:** 158 E MAIN ST, SUITE 2, HUNTINGTON, NY 11743-2988
- **Mailing address phone:** (631) 271-2491
- **Mailing address fax:** (631) 271-2608

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 60006253 | NY | Yes |

## Other

- **Enumeration date:** 10/13/2009
- **Last updated:** 09/11/2014