Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southside Podiatry PC

Organization Podiatrist · NPI 1205968799

Southside Podiatry PC provides Podiatrist services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
Specialties on file
2
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

903 E 82nd St
Brooklyn, NY 11236 Not confirmed with CMS for 16 years — call before visiting
Phone: (718) 241-2000
Fax: (718) 241-5281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence N004686 (NY)
Podiatrist Taxonomy 213E00000X · Licence N002003-1 (NY)

Record details

NPI number1205968799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Hupart — Dpm/President · (718) 241-2000
NPI enumeratedMarch 10, 2007
Last updated in NPPESJuly 19, 2010
Mailing address903 E 82nd St, Brooklyn, NY 11236-3811

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