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NPI Code Detail

MEDICARE: SCOTT LURIE & DAVID ROSSMAN PTRS FOREST HILLS PODIATRIC MEDICAL

MEDICARE: SCOTT LURIE & DAVID ROSSMAN PTRS FOREST HILLS PODIATRIC MEDICAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatrist003765NY
2213E00000XPodiatristN0057661NY
3213E00000XPodiatrist003793NY

General Provider Information

NPI Number : 1164547220
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCOTT LURIE & DAVID ROSSMAN PTRS FOREST HILLS PODIATRIC MEDICAL
Provider Business Mailing Address
First Line : 71 11 110TH STREET
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4851
Country : US
Telephone Number : 718-520-8811
Fax Number : 718-520-6646
Provider Business Practice Location Address
First Line : 71 11 110TH STREET
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-4851
Country : US
Telephone Number : 718-520-8811
Fax Number : 718-520-6646
Authorized Official
Title or Position : PARTNER
Name : SCOTT R LURIE
Credential : DPM
Telephone Number : 718-520-8811
Provider Enumeration Date : 03/20/2007
Last Update Date : 10/19/2012

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Directions to “SCOTT LURIE & DAVID ROSSMAN PTRS FOREST HILLS PODIATRIC MEDICAL ” Practice Location

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