IndividualActive
Alan Weisman, DPM
NPI 1508820622 · Foot Surgery Podiatrist · East Northport, NY
Provider details
- NPI number
- 1508820622
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- SC005725L (PA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Suppliers
Practice location
554 Larkfield Rd Ste 10c
East Northport, NY 11731-4205
Phone: (631) 368-3668
Fax: (631) 368-3669
Approximate (ZIP-level) locationGet directions
Mailing address
554 Larkfield Rd Ste 10c
East Northport, NY 11731-4205
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2025-12-18
- Certified
- 2025-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.