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General NPI Number Information
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NPI Number | 1447487228
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Entity Type | Organization
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Legal Business Name | TOMASZ ROSTKOWSKI, DPM P.C.
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 06/18/2009
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Provider Practice Location Address
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Address Line | 86 PICKWICK RD
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City | MANHASSET
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State | NY
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Zip | 11030-3322
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Country | US
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Telephone | 516-967-1164
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Fax | 516-706-0615
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Provider Business Mailing Address
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Address Line | 86 PICKWICK RD
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City | MANHASSET
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State | NY
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Zip | 11030-3322
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DPM
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Name | DR. TOMASZ ROSTKOWSKI
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Credential |
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Telephone | 516-967-1164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N005979-1
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License Number State | NY
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