Organization
FOOTLUXE OF LONG ISLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFFAELLA BUFFOLINO (OWNER)
(516) 342-0673
Entity
Organization
Contact information
Practice address
70 MAPLE AVE, ROCKVILLE CENTRE, NY 11570-4225
(516) 536-3336
(516) 858-1125
Mailing address
70 MAPLE AVE, ROCKVILLE CENTRE, NY 11570-4225
(516) 536-3336
(516) 858-1125
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006550
LICENSE
NY
Enumeration date
08/01/2017
Last updated
07/21/2022
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