Healthcare Provider Details

I. General information

NPI: 1710156682
Provider Name (Legal Business Name): CARING PODIATRY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2008
Last Update Date: 02/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 MONTAUK HWY
OAKDALE NY
11769-1434
US

IV. Provider business mailing address

PO BOX 386
OAKDALE NY
11769-0386
US

V. Phone/Fax

Practice location:
  • Phone: 631-244-2930
  • Fax:
Mailing address:
  • Phone: 631-244-2930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. MALYN V CLAUDIO
Title or Position: PRESIDENT
Credential: DPM
Phone: 631-244-2930