Organization
LONG ISLAND FOOT SPECIALIST P C
Active
Other names
LONG ISLAND FOOT SPECIALIST P C
Organization subpart
No
Provider details
NPI number
Authorized official
TODD ADAM LEVENSTIEN DPM (OWNER)
(631) 226-3668
Entity
Organization
Contact information
Practice address
481 W MONTAUK HWY, LINDENHURST, NY 11757-5528
(631) 226-3668
Mailing address
PO BOX 205, HUNTINGTON STATION, NY 11746-0169
(631) 226-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N0059441
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PEWA81
GROUP PIN - LIFS
NY
01
—
PJ1081
INDIVIDUAL PIN - TODD L.
NY
01
—
PJ108PEA81
INDIVIDUAL PIN - LIFS
NY
Enumeration date
10/10/2006
Last updated
03/09/2024
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