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General NPI Number Information
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NPI Number | 1154288173
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Entity Type | Organization
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Legal Business Name | METROPOLITAN PODIATRY ASSOCIATES PC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 2 HILLSIDE AVE UNIT 2E
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City | WILLISTON PARK
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State | NY
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Zip | 11596-2392
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Country | US
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Telephone | 718-896-4555
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Fax |
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Provider Business Mailing Address
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Address Line | 2 HILLSIDE AVE UNIT 2E
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City | WILLISTON PARK
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State | NY
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Zip | 11596-2392
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Country | US
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Telephone | 718-896-4555
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. KELLY LUCAS
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Credential | DPM
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Telephone | 570-460-3340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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