Organization
LONG ISLAND PODIATRY GROUP, P.C.
Active
Other names
Central Podiatry Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL CAPRIOLI DPM (OWNER)
(516) 568-2319
Entity
Organization
Contact information
Practice address
375 N CENTRAL AVE, VALLEY STREAM, NY 11580-1134
(516) 825-4070
(516) 825-1508
Mailing address
375 N CENTRAL AVE, VALLEY STREAM, NY 11580-1134
(516) 825-4070
(516) 568-2318
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003712
NY
Other
Enumeration date
09/16/2006
Last updated
01/22/2014
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