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

Dr. Louis Vincent Defazio II, DPM

Individual provider Podiatrist · NPI 1790105385

Dr. Louis Vincent Defazio II, DPM is a Podiatry in Cooperstown, New York. Graduated from Temple University School of Podiatric Medicine in 2014, 12 years ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Maryland and New York.

Years since qualifying
12
Trained at
Temple University School of Podiatric Medicine
Licensed in
MD, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone: (607) 547-3652
Fax: (075) 476-5536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 795 Aquahart Rd Ste 125, Glen Burnie, MD 21061-3905 — (410) 768-0702

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 007247 (NY)
Podiatrist Taxonomy 213E00000X · Licence 01625 (MD)

Record details

NPI number1790105385
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 22, 2014
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Mary Imogene Bassett Hospital — 779 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Cooperstown