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LONG ISLAND PODIATRY PC
NPI 1063669430
Podiatrist - Primary Podiatric Medicine in Southold, NY

Active since August 27, 2008
56340 MAIN ROAD, SOUTHOLD, NY 11725(631) 765-2772 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Long Island Podiatry Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONG ISLAND PODIATRY PC (NPI 1063669430) is a healthcare organization registered as a primary podiatric medicine in Southold, New York and active in the NPI registry since August 2008. The organization lists Michael Lawrence Brody, President, as its authorized official.

NPPES Registry Identity

NPI1063669430
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameLONG ISLAND PODIATRY PC
Location Address56340 MAIN ROADSouthold, NY 11725-3805
Mailing Address5 Evelyn DrCommack, NY 11725-3805 · (631) 549-3668
Phone(631) 765-2772
Organization SubpartNo
Authorized OfficialMichael Lawrence BrodyPresident · (631) 549-3668
Enumeration DateAugust 27, 2008
Last NPPES UpdateApril 10, 2013
✔ NPI 1063669430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in NY · N004211
56340 MAIN ROAD, Southold, NY 11725
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Other Identifiers 2

Medicare NSC3902290001NY
Medicare PIN3902290001NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long Island Podiatry PC's NPI number?

The NPI number for Long Island Podiatry PC is 1063669430. It was assigned to this organization in the NPPES registry on August 27, 2008.

Where is Long Island Podiatry PC located?

Long Island Podiatry PC is located at 56340 Main Road, Southold, NY 11725. The listed phone number is (631) 765-2772.

What is Long Island Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

When was this NPI record last updated?

The NPPES record for Long Island Podiatry PC was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.