Organization
LITTLE NECK FOOT CARE
Active
Organization
LITTLE NECK FOOT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNADETTE PUPILLA DPM (OWNER)
(718) 631-5783
Entity
Organization
Contact information
Practice address
5444 LITTLE NECK PKWY, FLUSHING, NY 11362-2211
(718) 631-5783
Mailing address
5444 LITTLE NECK PKWY, FLUSHING, NY 11362-2211
(718) 631-5783
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004824-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01740894
—
NY
01
—
6200801
GHI
NY
01
—
P904455
OXFORD
NY
Enumeration date
03/13/2008
Last updated
03/13/2008
Update your record
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