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NPI Code Detail

MEDICARE: DR. LOUIS DAVID JABLIN D.P.M.

MEDICARE:  DR. LOUIS DAVID JABLIN  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
1213E00000XPodiatristN003190NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992782189
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOUIS DAVID JABLIN D.P.M.
Provider Business Mailing Address
First Line : 6105 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4609
Country : US
Telephone Number : 718-439-8888
Fax Number : 718-439-6415
Provider Business Practice Location Address
First Line : 6105 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4609
Country : US
Telephone Number : 718-439-8888
Fax Number : 718-439-6415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 05/08/2008

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