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

Long Island Podiatry PC

Organization Primary Podiatric Medicine Podiatrist · NPI 1063669430

Long Island Podiatry PC is a Primary Podiatric Medicine Podiatrist in Southold, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

56340 Main Rd
Southold, NY 11725-3805
Phone: (631) 765-2772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence N004211 (NY)

Record details

NPI number1063669430
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Brody — President · (631) 549-3668
NPI enumeratedAugust 27, 2008
Last updated in NPPESApril 10, 2013
Mailing address5 Evelyn Dr, Commack, NY 11725-3805