MARIA ELLISE NATIVIDAD

NORTHPORT, NY
NPI1477849529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NY  390200000X)
Enumeration Date2011-06-27
Last Update Date2011-06-27
Business Address
-- MARIA ELLISE NATIVIDAD DPM
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-261-4400
Mailing Address
-- MARIA ELLISE NATIVIDAD DPM
PO BOX 201
NORTHPORT, NY 11768-0201
Phone number: 254-495-9891
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