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General NPI Number Information
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NPI Number | 1528490653
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Entity Type | Organization
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Legal Business Name | LASER FOOT CARE OF NEW YORK
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 07/31/2013
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Provider Practice Location Address
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Address Line | 1255 NORTH AVE BUILDING A, SUITE 1E
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-2605
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Country | US
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Telephone | 914-365-2800
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Fax | 914-365-2801
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Provider Business Mailing Address
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Address Line | 1255 NORTH AVE BUILDING A, SUITE 1E
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City | NEW ROCHELLE
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State | NY
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Zip | 10804-2605
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Country | US
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Telephone | 914-365-2800
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Fax | 914-365-2801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN POSNER
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Credential | DPM
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Telephone | 914-391-4560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | NOO5291-1
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License Number State | NY
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