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Organization

LONG ISLAND PODIATRY PC

Active
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Organization

LONG ISLAND PODIATRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL LAWRENCE BRODY DPM (PRESIDENT)
(631) 549-3668
Entity
Organization

Contact information

Practice address
56340 MAIN ROAD, SOUTHOLD, NY 11725-3805
(631) 765-2772
Mailing address
5 EVELYN DR, COMMACK, NY 11725-3805
(631) 549-3668

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004211
NY

Other

Enumeration date
08/27/2008
Last updated
04/10/2013
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