Organization
TOTAL FOOT CARE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNEJ JOSEPH BODAMER D.P.M. (PRESIDENT)
(631) 265-8802
Entity
Organization
Contact information
Practice address
373 ROUTE 111, SMITHTOWN, NY 11787-4759
(631) 265-8802
(631) 265-8809
Mailing address
373 ROUTE 111, SMITHTOWN, NY 11787-4759
(631) 265-8802
(631) 265-8809
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
NO-3889
NY
Other
Enumeration date
12/20/2006
Last updated
01/17/2008
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