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General NPI Number Information
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NPI Number | 1992745566
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Entity Type | Organization
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Legal Business Name | GERTSIK PODIATRY P.C.
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 415 OCEANVIEW AVE
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 718-934-4842
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Fax | 718-616-0165
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Provider Business Mailing Address
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Address Line | 415 OCEANVIEW AVE
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 718-934-4842
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Fax | 718-616-0165
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VLADIMIR GERTSIK
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Credential | DPM
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Telephone | 718-934-4842
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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 | N005508
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License Number State | NY
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