| Optimum Podiatry Group Pllc | |
|
620 Suffolk Ave, Brentwood, NY 11717-4306 | |
| (631) 968-5600 | |
| Not Available |
| Full Name | Optimum Podiatry Group Pllc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 620 Suffolk Ave, Brentwood, 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 |
|---|---|---|---|
| 1912777954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Peter Mancuso |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558339200 PECOS PAC ID: 6204820509 Enrollment ID: I20040410000118 |
| Provider Name | Jeanne M Courbis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609892389 PECOS PAC ID: 1052316098 Enrollment ID: I20060929000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Podiatry Group Pllc 620 Suffolk Ave, Brentwood, NY 11717-4306 Ph: () - | Optimum Podiatry Group Pllc 620 Suffolk Ave, Brentwood, NY 11717-4306 Ph: (631) 968-5600 |
Ny Foot & Ankle Specialists Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-1401 | |
Dr. Peter John Mancuso, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-1401 Fax: 631-273-0125 | |
Ny Foot & Ankle Specialist Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-1401 Fax: 631-273-0125 |