Organization
WEST ISLIP FOOT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERNADETTE HAYES (MGR)
(631) 661-7400
Entity
Organization
Contact information
Practice address
212 HIGBIE LN, SUITE #2, WEST ISLIP, NY 11795-2827
(631) 661-7400
(631) 661-3958
Mailing address
212 HIGBIE LN, SUITE #2, WEST ISLIP, NY 11795-2827
(631) 661-7400
(631) 661-3958
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
N003452
NY
Other
Enumeration date
11/01/2006
Last updated
02/26/2008
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