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Organization
MICHAEL SCANLON D.P.M.
Active
Organization
MICHAEL SCANLON D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCANLON (SOLE PROPRIETER)
(718) 633-3074
Entity
Organization
Contact information
Practice address
408 CHURCH AVENUE, BROOKLYN, NY 11218
(718) 633-3074
Mailing address
408 CHURCH AVENUE, BROOKLYN, NY 11218
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
N002978
NY
Other
Enumeration date
10/02/2006
Last updated
03/11/2008
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