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NPI 1629573076

NPI 1629573076 : DANA MARIE BRIMMER DPM : IRVING, NY

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General NPI Number Information
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    NPI Number           |    1629573076
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    Entity Type          |    Individual 
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    Provider Name        |    DANA MARIE BRIMMER DPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/28/2018
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    Last Update Date     |    10/16/2025
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Provider Practice Location Address
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    Address Line         |    275 THOMAS INDIAN SCHOOL DR 
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    City                 |    IRVING
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    State                |    NY
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    Zip                  |    14081-9341
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    Country              |    US
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    Telephone            |    716-532-5582
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    Fax                  |    716-242-6344
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Provider Business Mailing Address
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    Address Line         |    275 THOMAS INDIAN SCHOOL DR 
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    City                 |    IRVING
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    State                |    NY
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    Zip                  |    14081-9341
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    Country              |    US
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    Telephone            |    716-532-5582
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    Fax                  |    716-242-6344
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0131X
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    Taxonomy Name        |    Foot Surgery Podiatrist
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    License Number       |    007174
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    NY
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Taxonomy #3
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    Taxonomy Code        |    213EP1101X
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    Taxonomy Name        |    Primary Podiatric Medicine Podiatrist
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    License Number       |    007174
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    007174-01
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    License Number State |    NY
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