Provider Demographics
NPI:1891396503
Name:NEXT STEP PODIATRY PLLC
Entity Type:Organization
Organization Name:NEXT STEP PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:LANDY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:516-581-7700
Mailing Address - Street 1:637 WILLIS AVE STE E
Mailing Address - Street 2:
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596-1161
Mailing Address - Country:US
Mailing Address - Phone:516-248-8188
Mailing Address - Fax:516-279-4921
Practice Address - Street 1:637 WILLIS AVE STE E
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-1161
Practice Address - Country:US
Practice Address - Phone:516-248-8188
Practice Address - Fax:516-279-4921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty