Organization
LONG ISLAND PODIATRY GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL CAPRIOLI DPM (PRESIDENT)
(516) 837-9268
Entity
Organization
Contact information
Practice address
1991 MARCUS AVE STE M103, NEW HYDE PARK, NY 11042-2040
(516) 327-0074
(516) 327-0083
Mailing address
375 N CENTRAL AVE, VALLEY STREAM, NY 11580-1156
(516) 825-4070
(516) 568-2318
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02661672
—
NY
Enumeration date
05/23/2017
Last updated
07/18/2024
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