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General NPI Number Information
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NPI Number | 1467638551
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Entity Type | Organization
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Legal Business Name | NEW YORK PODIATRIC MEDICINE & SURGERY PC
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 315 MADISON AVENUE SUITE 2301
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City | NEW YORK
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State | NY
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Zip | 10017
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Country | US
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Telephone | 212-867-2500
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Fax | 212-867-3845
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Provider Business Mailing Address
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Address Line | 315 MADISON AVENUE SUITE 2301
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City | NEW YORK
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State | NY
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Zip | 10017
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Country | US
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Telephone | 212-867-2500
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Fax | 212-867-3845
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ANDREW R. GLASS
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Credential | DPM
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Telephone | 212-867-2500
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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 | 003866
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License Number State | NY
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