South Island Podiatry Specialists, PC
South Island Podiatry Specialists, PC is a Foot & Ankle Surgery Podiatrist in Medford, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1641 Route 112Medford, NY 11763-3635
Phone: (631) 447-0800
Fax: (631) 447-0801
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence N0-3889 (NY) |
|---|
Record details
| NPI number | 1376607713 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wayne Bodamer — President · (631) 447-0800 |
| NPI enumerated | December 20, 2006 |
| Last updated in NPPES | June 13, 2008 |
| Mailing address | 1641 Route 112, Medford, NY 11763-3635 |