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General NPI Number Information
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NPI Number | 1922159490
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Entity Type | Organization
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Legal Business Name | MOUNT KISCO FOOT SPECIALISTS, PLLC
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 344 E MAIN ST STE 206
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3036
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Country | US
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Telephone | 914-666-7367
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Fax | 914-666-7416
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Provider Business Mailing Address
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Address Line | 344 E MAIN ST STE 206
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3036
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Country | US
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Telephone | 914-666-7367
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Fax | 914-666-7416
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. RICHARD ALAN BERLINER
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Credential | DPM
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Telephone | 914-666-7367
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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 | N005061
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | N005062
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License Number State | NY
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