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General NPI Number Information
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NPI Number | 1356804744
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Entity Type | Organization
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Legal Business Name | DR. ASHLEY BOCCIO DPM, PLLC
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 20 CROSSWAYS PARK DR N STE 304
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City | WOODBURY
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State | NY
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Zip | 11797-2007
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Country | US
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Telephone | 516-681-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 20 CROSSWAYS PARK DR N STE 304
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City | WOODBURY
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State | NY
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Zip | 11797-2007
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Country | US
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Telephone | 516-681-8866
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Fax |
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Authorized Official
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Title or Position | FOUNDER/EMPLOYER
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Name | DR. ASHLEY BOCCIO
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Credential | DPM
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Telephone | 631-478-8175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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