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NPI Code Detail

MEDICARE: DANIELLE DUBOIS DPM

MEDICARE: DANIELLE DUBOIS DPM
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
1213E00000XPodiatrist007111NY

General Provider Information

NPI Number : 1689103632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE DUBOIS DPM
Provider Business Mailing Address
First Line : 485 ATLANTIC AVE APT 3
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-1890
Country : US
Telephone Number : 401-824-6318
Fax Number :
Provider Business Practice Location Address
First Line : 815 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5318
Country : US
Telephone Number : 646-614-8327
Fax Number : 646-614-8327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2017
Last Update Date : 08/14/2025

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Directions to “ DANIELLE DUBOIS DPM” Practice Location

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