| Organization Name: | SOUTH SHORE FOOT CARE P.C. |
| NPI Number: | 1184890725 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT STEIN (OWNER) |
| Mailing Address: | 475 Chestnut St Unit A Cedarhurst |
| State: | NY US |
| Postal Code: | 115162038 |
| Phone Number: | 5163743668 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2008 |
| NPI Last Update Date: | 12/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | N004682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |