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General NPI Number Information
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NPI Number | 1104096494
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Entity Type | Organization
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Legal Business Name | DAVID NEGRON DPM PC
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 215 ISLIP AVE
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City | ISLIP
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State | NY
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Zip | 11751-3013
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Country | US
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Telephone | 631-277-4060
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Fax | 631-224-4905
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Provider Business Mailing Address
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Address Line | 1 WINTHROP ST
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City | ISLIP
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State | NY
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Zip | 11751-1011
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Country | US
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Telephone | 631-277-2991
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Fax | 631-224-4905
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID NEGRON
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Credential | DPM
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Telephone | 631-277-4060
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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 | N005160
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License Number State | NY
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