| Northport Podiatry Pc | |
|
1032 Fort Salonga Rd, Northport, NY 11768-2208 | |
| (631) 754-3338 | |
| (631) 754-3367 |
| Full Name | Northport Podiatry Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1032 Fort Salonga Rd, Northport, 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 |
|---|---|---|---|
| 1679745103 | NPI | - | NPPES |
| W3P441 | Other | NY | MEDICARE PTAN |
| 480034015 | Other | RR MEDICARE | |
| 01573528 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | N005219 (New York) | Primary |
| Provider Name | Denise G Casinover-raio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639162118 PECOS PAC ID: 7214016385 Enrollment ID: I20080501000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Northport Podiatry Pc 1032 Fort Salonga Rd, Northport, NY 11768-2208 Ph: (631) 754-3338 | Northport Podiatry Pc 1032 Fort Salonga Rd, Northport, NY 11768-2208 Ph: (631) 754-3338 |
Maria Ellise Natividad, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Jane Cortes, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 Fax: 631-266-6050 | |
Mrs. Denise G Casinover-raio, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1032 Fort Salonga Rd, Northport, NY 11768 Phone: 631-754-3338 Fax: 631-754-3367 | |
Dr. Shahrzad Assadzadeh Dilmaghani, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 Fax: 631-266-6050 | |
Elizabeth A Haeni, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 50 Meadow Glen Rd, Northport, NY 11768 Phone: 631-262-0849 Fax: 631-262-0849 | |
Justin Lobello, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 79 Middleville Rd, Building 7, Room 106c, Northport, NY 11768 Phone: 631-261-4400 |