| Organization Name: | GEORGE M. DEVITO DPM PC |
| NPI Number: | 1235399841 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE M DEVITO (PRESIDENT) |
| Mailing Address: | 384 E Main St East Islip |
| State: | NY US |
| Postal Code: | 117302821 |
| Phone Number: | 6316505308 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2008 |
| NPI Last Update Date: | 06/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |