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General NPI Number Information
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NPI Number | 1962795211
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Entity Type | Organization
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Legal Business Name | THROGS NECK PODIATRY, P.C.
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Dates
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Enumeration Date | 05/19/2011
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 104 VERNON DR
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City | SCARSDALE
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State | NY
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Zip | 10583-6150
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Country | US
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Telephone | 914-645-6679
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Fax | 914-472-5820
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Provider Business Mailing Address
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Address Line | 104 VERNON DR
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City | SCARSDALE
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State | NY
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Zip | 10583-6150
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VINCENT GRAMUGLIA
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Credential | DPM
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Telephone | 914-645-6679
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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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