Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Long Island Podiatric Surgery, PC

Organization Foot Surgery Podiatrist · NPI 1366293334

Long Island Podiatric Surgery, PC is a Foot Surgery Podiatrist in Lake Grove, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

97 Pond Path
Lake Grove, NY 11755-1831
Phone: (786) 457-4723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X

Record details

NPI number1366293334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bill Dalosis — Podiatrist · (786) 457-4723
NPI enumeratedMarch 28, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024
Mailing address97 Pond Path, Lake Grove, NY 11755-1831

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