Organization
DAVID J. ELLENBOGEN PODIATRY, PC
Active
Other names
Long Island Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J ELLENBOGEN DPM (PRESIDENT)
(631) 543-8844
Entity
Organization
Contact information
Practice address
358 VETERANS MEMORIAL HWY, #11, COMMACK, NY 11725-4326
(631) 543-8844
(631) 543-8840
Mailing address
358 VETERANS MEMORIAL HWY, #11, COMMACK, NY 11725-4326
(631) 543-8844
(631) 543-8840
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N006125
NY
Other
Enumeration date
10/29/2013
Last updated
11/05/2013
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