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NPI Code Detail

MEDICARE: DANIEL GIRARDI DPM

MEDICARE:   DANIEL  GIRARDI  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristN003925-2NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720207996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL GIRARDI DPM
Provider Business Mailing Address
First Line : 1992 DEER PARK AVE
Second Line :
City : DEER PARK
State : NY
Zip : 11729-2701
Country : US
Telephone Number : 631-667-4444
Fax Number : 631-667-0601
Provider Business Practice Location Address
First Line : 1992 DEER PARK AVE
Second Line :
City : DEER PARK
State : NY
Zip : 11729-2701
Country : US
Telephone Number : 631-667-4444
Fax Number : 631-667-0601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 12/24/2007

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Directions to “ DANIEL GIRARDI DPM” Practice Location

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