Organization
BAYPORT PODIATRY CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BEHAR D.P.M (PRESIDENT)
(631) 472-2112
Entity
Organization
Contact information
Practice address
671 MONTAUK HWY UNIT B, BAYPORT, NY 11705-1627
(631) 472-2112
(631) 472-2605
Mailing address
671 MONTAUK HWY UNIT B, BAYPORT, NY 11705-1627
(631) 472-2112
(631) 472-2605
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01877623
—
NY
Enumeration date
11/08/2006
Last updated
11/23/2011
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