# WEST ISLIP FOOT CARE PC

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

## Provider details

- **NPI number:** 1194802827
- **Authorized official:** MS. BERNADETTE HAYES (MGR)
- **Authorized official phone:** (631) 661-7400

## Contact information

- **Practice address:** 212 HIGBIE LN, SUITE \#2, WEST ISLIP, NY 11795-2827
- **Practice address phone:** (631) 661-7400
- **Practice address fax:** (631) 661-3958
- **Mailing address:** 212 HIGBIE LN, SUITE \#2, WEST ISLIP, NY 11795-2827
- **Mailing address phone:** (631) 661-7400
- **Mailing address fax:** (631) 661-3958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0000X | Sports Medicine Podiatrist | N003452 | NY | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 02/26/2008