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General NPI Number Information
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NPI Number | 1235207275
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Entity Type | Organization
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Legal Business Name | FOOT & ANKLE PODIATRY ASSOCIATES, PC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 1983 CROMPOND RD SUITE 102
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4121
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Country | US
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Telephone | 914-737-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 1983 CROMPOND RD SUITE 102
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4121
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Country | US
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Telephone | 914-737-7474
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND OWNER
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Name | GLENN DAVID WEINFELD
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Credential | DPM
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Telephone | 914-737-7474
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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 | N005939
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License Number State | NY
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