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General NPI Number Information
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NPI Number | 1285949180
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Entity Type | Organization
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Legal Business Name | NYC PODIATRIC MEDICINE AND SURGERY, PC
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 10914 ASCAN AVE STE 1A
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City | FOREST HILLS
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State | NY
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Zip | 11375-7804
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Country | US
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Telephone | 718-371-4400
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Fax | 718-371-5400
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Provider Business Mailing Address
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Address Line | 6456 DIETERLE CRES
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City | REGO PARK
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State | NY
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Zip | 11374-5027
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Country | US
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Telephone | 718-371-4400
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Fax | 718-371-5400
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EVELYN G CAVALIER
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Credential | DPM
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Telephone | 718-371-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N006350
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License Number State | NY
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