Organization
WESTHAMPTON BEACH PODIATRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JERAN DPM (AUTHORIZED OFFICER)
(631) 833-1528
Entity
Organization
Contact information
Practice address
70 C OLD RIVERHEAD ROAD, WESTHAMPTON BEACH, NY 11978
(631) 288-1106
(631) 979-4002
Mailing address
484 SMITH AVENUE, ISLIP, NY 11751
(631) 833-1528
(631) 979-4002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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