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NPI 1053343640

NPI 1053343640 : A PODIATRIC CARE PC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1053343640
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    Entity Type          |    Organization 
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    Legal Business Name  |    A PODIATRIC CARE PC 
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Dates
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    Enumeration Date     |    07/06/2006
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    Last Update Date     |    07/08/2024
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Provider Practice Location Address
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    Address Line         |    2844 OCEAN PKWY STE 6 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-7904
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    Country              |    US
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    Telephone            |    718-946-8585
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    Fax                  |    718-697-7463
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Provider Business Mailing Address
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    Address Line         |    2844 OCEAN PKWY STE 6 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-7904
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    Country              |    US
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    Telephone            |    718-946-8586
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    Fax                  |    718-697-7463
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. SVETLANA  LUVISH 
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    Credential           |    DPM
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    Telephone            |    718-946-8586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0131X
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    Taxonomy Name        |    Foot Surgery Podiatrist
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    License Number       |    N006082
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    License Number State |    NY
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