# DR. NELLY DUCREPIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1003074055
- **Gender:** F
- **Credential:** D.P.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213EP1101X | Primary Podiatric Medicine Podiatrist | 006345 | NY | — |
| 213ES0000X | Sports Medicine Podiatrist | 006345 | NY | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 006345 | NY | Yes |

## Other

- **Enumeration date:** 05/27/2008
- **Last updated:** 02/09/2010