IndividualActive
Paul Bartoo, CERTIFIED PEDORTHIST
NPI 1235617119 · Pedorthist · Lebanon, NH
Provider details
- NPI number
- 1235617119
- Entity type
- Individual
- Primary specialty
- PedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CERTIFIED PEDORTHIST
- Sex
- Male
- Sole proprietor
- No
Mailing address
2905 Veterans Memorial Hwy Ste 2
Ronkonkoma, NY 11779-7655
Registry dates
- Enumerated
- 2018-08-01
- Last updated
- 2018-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.