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NPI Code Detail

MEDICARE: DR. TERENCE SAADVANDI D.P.M.

MEDICARE: DR. TERENCE SAADVANDI D.P.M.
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
1213E00000XPodiatristN005475NY

General Provider Information

NPI Number : 1265484224
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TERENCE SAADVANDI D.P.M.
Provider Business Mailing Address
First Line : 930 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10460-4363
Country : US
Telephone Number : 718-764-1633
Fax Number : 646-224-1320
Provider Business Practice Location Address
First Line : 930 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10460-4363
Country : US
Telephone Number : 718-764-1633
Fax Number : 646-224-1320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 03/27/2013

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