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General NPI Number Information
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NPI Number | 1881850253
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Entity Type | Organization
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Legal Business Name | PODIATRY ASSOCIATES OF NEW YORK
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 11 RALPH PL SUITE 304
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4419
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Country | US
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Telephone | 718-981-0100
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Fax | 718-981-0103
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Provider Business Mailing Address
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Address Line | 11 RALPH PL SUITE 304
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City | STATEN ISLAND
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State | NY
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Zip | 10304-4419
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Country | US
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Telephone | 718-981-0100
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Fax | 718-981-0103
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MICHAEL M. GINSBURG
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Credential | DPM
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Telephone | 718-981-0100
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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 | N005785-1
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License Number State | NY
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