Organization
AMITYVILLE PODIATRY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD LEONARD DAMICO DPM (PODIATRIST PRESIDENT)
(631) 691-6060
Entity
Organization
Contact information
Practice address
77 BROADWAY, AMITYVILLE, NY 11701
(631) 691-6060
(631) 691-0920
Mailing address
77 BROADWAY, SUITE 6, AMITYVILLE, NY 11701-2785
(631) 691-6060
(631) 691-0920
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00907960
—
NY
Enumeration date
09/11/2006
Last updated
04/25/2014
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