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General NPI Number Information
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NPI Number | 1346528981
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Entity Type | Organization
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Legal Business Name | MARZY PODIATRY ASSOCIATES PC
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 26701 HILLSIDE AVE
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City | FLORAL PARK
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State | NY
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Zip | 11004-1743
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Country | US
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Telephone | 718-343-7790
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Fax | 718-206-1289
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | ROSLYN HTS
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State | NY
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Zip | 11577-0008
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Country | US
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Telephone | 516-660-2171
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Fax | 516-625-3260
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AREZU IZAD
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Credential | DPM
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Telephone | 516-660-2171
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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 | N004578
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License Number State | NY
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