Organization
ELITE PODIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY K. BAPTISTE D.P.M. (PODIATRIST)
(631) 271-2491
Entity
Organization
Contact information
Practice address
158 E MAIN ST, SUITE 2, HUNTINGTON, NY 11743-2988
(631) 271-2491
(631) 271-2608
Mailing address
158 E MAIN ST, SUITE 2, HUNTINGTON, NY 11743-2988
(631) 271-2491
(631) 271-2608
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
60006253
NY
Other
Enumeration date
10/13/2009
Last updated
09/11/2014
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