Provider Demographics
NPI:1942899562
Name:INSTRIDE PODIATRY PLLC
Entity Type:Organization
Organization Name:INSTRIDE PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LANGONE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:631-287-1818
Mailing Address - Street 1:365 COUNTY ROAD 39A UNIT 9
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-5243
Mailing Address - Country:US
Mailing Address - Phone:631-287-1818
Mailing Address - Fax:631-991-3188
Practice Address - Street 1:365 COUNTY ROAD 39A UNIT 9
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5243
Practice Address - Country:US
Practice Address - Phone:631-287-1818
Practice Address - Fax:631-991-3188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-18
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty