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General NPI Number Information
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NPI Number | 1508914193
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Entity Type | Organization
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Legal Business Name | GRAMERCY PARK PODIATRY, PLLC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 380 2ND AVE SUITE 303
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City | NEW YORK
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State | NY
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Zip | 10010-5615
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Country | US
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Telephone | 212-995-1500
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Fax | 212-473-8563
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Provider Business Mailing Address
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Address Line | 380 2ND AVE SUITE 303
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City | NEW YORK
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State | NY
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Zip | 10010-5615
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Country | US
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Telephone | 212-995-1500
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Fax | 212-473-8563
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL J BETSCHART
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Credential | D.P.M.
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Telephone | 212-995-1500
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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 | N005002
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License Number State | NY
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