Organization
LITE STEP PODIATRY WELLNESS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA NICHOLAS DPM (OWNER)
(631) 707-8771
Entity
Organization
Contact information
Practice address
6302 ROUTE 25A, WADING RIVER, NY 11792-2026
(631) 707-8771
Mailing address
6302 ROUTE 25A, WADING RIVER, NY 11792-2026
(631) 707-8771
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005499
NY
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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