| Organization Name: | PREMIERE PODIATRY PC |
| NPI Number: | 1467759522 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JASON E FEINBERG (OWNER) |
| Mailing Address: | 158 E Main St Suite 2 Huntington |
| State: | NY US |
| Postal Code: | 117432988 |
| Phone Number: | 6312712491 |
| Fax Number: | 6312712608 |
| NPI Enumeration Date: | 02/24/2011 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | N006175 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |