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

Northeast Podiatry Assoc PC

Organization Podiatrist · NPI 1417081050

Northeast Podiatry Assoc PC is a Podiatrist in East Northport, New York. Registered with an NPI since 2007.

In the registry since
2007
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

1172 5th Ave
East Northport, NY 11731-2631
Phone: (631) 266-2220
Fax: (631) 266-5119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1417081050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Cusack — President · (631) 266-2220
NPI enumeratedMarch 15, 2007
Last updated in NPPESMarch 18, 2008
Mailing address1172 5th Ave, East Northport, NY 11731-2631

Other providers in East Northport