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General NPI Number Information
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NPI Number | 1942192091
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Entity Type | Organization
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Legal Business Name | EMPIRE PODIATRY SURGERY PC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 8 W 38TH ST RM 503
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City | NEW YORK
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State | NY
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Zip | 10018-6368
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Country | US
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Telephone | 631-484-8655
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Fax |
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Provider Business Mailing Address
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Address Line | 155 BORDEN AVE APT 23G
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-6239
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Country | US
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Telephone | 631-484-8655
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHANIE LUBIN
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Credential | DPM
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Telephone | 631-484-8655
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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 |
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License Number State |
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