WEST ISLIP FOOT CARE PC
Medical Practice in West Islip, NY

License number
New York N003452
Category
Medical Practice
Type
Sports Medicine
Owner
Name: MS. BERNADETTE HAYES
Title: MGR
Phone: (631) 661-7400
Address
Address
212 Higbie Ln Suite #2, West Islip, NY 11795
National Provider ID: 1194802827
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WEST ISLIP FOOT CARE PC

West Islip, NY

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Jul 3, 1997
Inactive since:
Jun 27, 2001
Addresses:
189 Higbie Ln, West Islip, NY 11795 (Physical)
212 Higbie Ln, West Islip, NY 11795 (Physical)
State ID:
2159153
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Ralph M Turri, 212 Higbie Ln, West Islip, NY 11795 (Physical)

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