| Long Island Podiatry Pc | |
|
56340 Main Road, Southold, NY 11725-3805 | |
| (631) 765-2772 | |
| Not Available |
| Full Name | Long Island Podiatry Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 56340 Main Road, Southold, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063669430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | N004211 (New York) | Primary |
| Provider Name | Michael L Brody |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770526774 PECOS PAC ID: 6800786914 Enrollment ID: I20040319000900 |
| Mailing Address | Practice Location Address |
|---|---|
| Long Island Podiatry Pc 5 Evelyn Dr, Commack, NY 11725-3805 Ph: (631) 549-3668 | Long Island Podiatry Pc 56340 Main Road, Southold, NY 11725-3805 Ph: (631) 765-2772 |
Peter J Kilfoil, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 53345 Main Rd, Southold, NY 11971 Phone: 631-765-5600 Fax: 631-765-2374 | |
Dr. William F Buffone, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 44210 Route 48, Southold, NY 11971 Phone: 631-765-6777 Fax: 631-765-6933 | |
North Fork Podiatry Associates Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 44210 Route 48, Southold, NY 11971 Phone: 631-765-6777 Fax: 631-765-6933 | |
Dr. Michael Lawrence Brody, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 56340 Main Road, Southold, NY 11971 Phone: 631-549-3668 Fax: 631-547-1423 |