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General NPI Number Information
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NPI Number | 1275422867
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Entity Type | Organization
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Legal Business Name | BOLTROPE PODIATRY NY PLLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 28 HOPE PLZ
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City | WEST COXSACKIE
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State | NY
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Zip | 12192-1225
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Country | US
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Telephone | 518-731-5444
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Fax |
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Provider Business Mailing Address
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Address Line | 365 W PASSAIC ST STE 530
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City | ROCHELLE PARK
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State | NJ
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Zip | 07662-3012
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Country | US
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Telephone | 201-571-0214
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY GEWIRTZ
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Credential |
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Telephone | 15-710-2142
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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