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General NPI Number Information
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NPI Number | 1225210057
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Entity Type | Organization
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Legal Business Name | ALL ISLAND PODIATRY PC
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 200 N VILLAGE AVE SUITE 101
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-2341
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Country | US
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Telephone | 516-764-0434
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Fax | 516-764-5643
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Provider Business Mailing Address
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Address Line | 200 N VILLAGE AVE SUITE 101
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-2341
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Country | US
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Telephone | 516-764-0434
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Fax | 516-764-5643
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. HOWARD N. KESSLER
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Credential | DPM
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Telephone | 516-764-0434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 2749
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License Number State | NY
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