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General NPI Number Information
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NPI Number | 1811911563
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Entity Type | Organization
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Legal Business Name | VYN PODIATRY PC
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 2306 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11229-4917
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Country | US
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Telephone | 718-769-8210
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Fax | 718-769-8087
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Provider Business Mailing Address
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Address Line | 2306 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11229-4917
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Country | US
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Telephone | 718-769-8210
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Fax | 718-769-8087
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. VADIM NEKRITIN
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Credential | DPM
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Telephone | 718-769-8210
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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 | 006017
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License Number State | NY
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