Organization
LITTLE NECK PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE PUPILLA (DPM)
(631) 513-6159
Entity
Organization
Contact information
Practice address
1149 OLD COUNTRY RD STE B1, RIVERHEAD, NY 11901-2060
(631) 740-9549
Mailing address
1149 OLD COUNTRY RD STE B1, RIVERHEAD, NY 11901-2060
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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