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General NPI Number Information
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NPI Number | 1932377587
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Entity Type | Organization
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Legal Business Name | BAY PODIATRY ASSOCIATES,PLLC
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Dates
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Enumeration Date | 02/18/2008
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 8635 21ST AVE APT 1C
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City | BROOKLYN
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State | NY
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Zip | 11214-4033
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Country | US
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Telephone | 171-826-6198
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Fax | 718-266-2203
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Provider Business Mailing Address
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Address Line | 8635 21ST AVE APT 1C
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City | BROOKLYN
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State | NY
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Zip | 11214-4033
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Country | US
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Telephone | 171-826-6198
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Fax | 718-266-2203
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Authorized Official
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Title or Position | MEMBER
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Name | DR. PHILIP GIAMMARINO
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Credential | D.P.M.
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Telephone | 718-266-1986
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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 | N002850-1
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License Number State | NY
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