# FOOTLUXE OF LONG ISLAND LLC

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

## Provider details

- **NPI number:** 1275057341
- **Authorized official:** RAFFAELLA BUFFOLINO (OWNER)
- **Authorized official phone:** (516) 342-0673

## Contact information

- **Practice address:** 70 MAPLE AVE, ROCKVILLE CENTRE, NY 11570-4225
- **Practice address phone:** (516) 536-3336
- **Practice address fax:** (516) 858-1125
- **Mailing address:** 70 MAPLE AVE, ROCKVILLE CENTRE, NY 11570-4225
- **Mailing address phone:** (516) 536-3336
- **Mailing address fax:** (516) 858-1125

## Taxonomy

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

## Other

- **Enumeration date:** 08/01/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 006550 | LICENSE | NY |