| Innovative Footcare | |
|
111 Smithtown Byp Ste 103, Hauppauge, NY 11788-2512 | |
| (631) 724-3338 | |
| (631) 724-2860 |
| Full Name | Innovative Footcare |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 111 Smithtown Byp Ste 103, Hauppauge, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891816278 | NPI | - | NPPES |
| 00873914 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | N004738 (New York) | Secondary |
| 213E00000X | Podiatrist | N005916 (New York) | Secondary |
| 213E00000X | Podiatrist | N003762 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Footcare 391 E 149th St, Bronx, NY 10455-3907 Ph: (718) 292-7081 | Innovative Footcare 111 Smithtown Byp Ste 103, Hauppauge, NY 11788-2512 Ph: (631) 724-3338 |
Bypass Footcare P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 111 Smithtown Byp Ste 103, Hauppauge, NY 11788 Phone: 631-724-3338 Fax: 631-724-2860 | |
Daniel Jeran D.p.m. P.c. Podiatrist Medicare: Medicare Enrolled Practice Location: 521 Route 111, Suite 309, Hauppauge, NY 11788 Phone: 631-979-7654 | |
Bypass Footcare Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 111 Smithtown Byp, Ste 103, Hauppauge, NY 11788 Phone: 631-724-3338 Fax: 631-724-2860 | |
Daniel Jeran, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 521 Route 111, Suite 309, Hauppauge, NY 11788 Phone: 631-979-7654 Fax: 631-979-4002 | |
Dr. Robert Locastro, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 111 Smithtown Byp, Suite 103, Hauppauge, NY 11788 Phone: 631-724-3338 Fax: 631-724-2860 |