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General NPI Number Information
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NPI Number | 1962938456
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Entity Type | Organization
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Legal Business Name | CRISTINA BURICEA DPM PLLC
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 166 MANILA AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-5608
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Country | US
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Telephone | 646-944-8422
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Fax |
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Provider Business Mailing Address
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Address Line | 166 MANILA AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10306-5608
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Country | US
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Telephone | 646-944-8422
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CRISTINA R BURICEA
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Credential | DPM
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Telephone | 646-944-8422
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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 | 006858
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License Number State | NY
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