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NPI 1396167581

NPI 1396167581 : ERROL GINDI DPM PC : VALLEY STREAM, NY

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General NPI Number Information
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    NPI Number           |    1396167581
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    Entity Type          |    Organization 
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    Legal Business Name  |    ERROL GINDI DPM PC 
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Dates
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    Enumeration Date     |    01/08/2014
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    Last Update Date     |    01/08/2014
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Provider Practice Location Address
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    Address Line         |    5 SEATON GATE 
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    City                 |    VALLEY STREAM
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    State                |    NY
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    Zip                  |    11580-1198
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    Country              |    US
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    Telephone            |    516-825-5552
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    Fax                  |    516-825-7634
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Provider Business Mailing Address
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    Address Line         |    5 SEATON GATE 
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    City                 |    VALLEY STREAM
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    State                |    NY
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    Zip                  |    11580-1198
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    Country              |    US
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    Telephone            |    516-825-5552
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    Fax                  |    516-825-7634
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Authorized Official
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    Title or Position    |    PTOVIDER
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    Name                 |    DR. ERROL  GINDI 
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    Credential           |    DPM
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    Telephone            |    516-825-5552
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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       |    N003087
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    License Number State |    NY
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