Organization
ADVANCED PODIATRY OF HUNTINGTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEDRAM A HENDIZADEH DPM (PARTNER)
(631) 427-3678
Entity
Organization
Contact information
Practice address
76 E MAIN ST, SUITE 3, HUNTINGTON, NY 11743-2837
(631) 427-3678
(631) 427-5595
Mailing address
76 E MAIN ST, SUITE 3, HUNTINGTON, NY 11743-2837
(631) 427-3678
(631) 427-5595
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
N005950-1
NY
Other
Enumeration date
11/19/2007
Last updated
05/29/2008
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