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Organization

STEP BY STEP PODIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA M LAROCCA HULSEN DPM (OWNER/ MANAGING PARTNER)
(631) 724-1166
Entity
Organization

Contact information

Practice address
260 E MIDDLE COUNTRY RD STE 104, SMITHTOWN, NY 11787-2923
(631) 724-1166
(631) 724-4130
Mailing address
260 E MIDDLE COUNTRY RD STE 104, SMITHTOWN, NY 11787-2923
(631) 724-1166
(631) 724-4130

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
08/26/2024
Last updated
08/26/2024
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