Organization
ISLAND FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERENA BEUTEL DAVIS (BILLER)
(608) 526-2768
Entity
Organization
Contact information
Practice address
1399 FRANKLIN AVE STE 304, GARDEN CITY, NY 11530-1678
(631) 422-4450
Mailing address
1111 MONTAUK HWY STE 100, WEST ISLIP, NY 11795-4910
(631) 422-4450
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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