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NPI 1588747893

NPI 1588747893 : FIT FEET PODIATRY P.C. : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1588747893
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    Entity Type          |    Organization 
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    Legal Business Name  |    FIT FEET PODIATRY P.C. 
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Dates
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    Enumeration Date     |    10/23/2006
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    Last Update Date     |    03/18/2013
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Provider Practice Location Address
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    Address Line         |    3111 BRIGHTON 2ND ST L2
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-7535
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    Country              |    US
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    Telephone            |    718-332-8633
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    Fax                  |    718-332-0547
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Provider Business Mailing Address
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    Address Line         |    925 HAMPTON AVE 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11235-3052
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    Country              |    US
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    Telephone            |    718-809-7511
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    Fax                  |    718-228-8444
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     LEON  STEPENSKY 
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    Credential           |    DPM
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    Telephone            |    718-332-8633
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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       |    
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    License Number State |    
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