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General NPI Number Information
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NPI Number | 1063715142
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Entity Type | Organization
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Legal Business Name | GREGORY AMANTE DPM, PC
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 2995 OCEAN PKWY APT 1
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City | BROOKLYN
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State | NY
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Zip | 11235-8387
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Country | US
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Telephone | 718-975-3440
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Fax |
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Provider Business Mailing Address
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Address Line | 2952 BRIGHTON 3RD ST STE 201
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City | BROOKLYN
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State | NY
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Zip | 11235-7078
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Country | US
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Telephone | 718-975-4334
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GREGORY AMANTE
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Credential | DPM
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Telephone | 718-975-3440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N0055411
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License Number State | NY
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