IndividualActive
Bill Dalosis, DPM
NPI 1497771604 · Foot Surgery Podiatrist · Lake Grove, NY
Provider details
- NPI number
- 1497771604
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 006161 (NY)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
97 Pond Path
Lake Grove, NY 11755-1831
Phone: (786) 457-4723
Approximate (ZIP-level) locationGet directions
Mailing address
97 Pond Path
Lake Grove, NY 11755-1831
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.