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Organization
IMTIYAZ I KAPADWALA DPM PC
Active
Organization
IMTIYAZ I KAPADWALA DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMTIYAZ I KAPADWALA (SOLE PROPRIETOR)
(718) 418-8540
Entity
Organization
Contact information
Practice address
220A SAINT NICHOLAS AVE, BROOKLYN, NY 11237-4807
(171) 841-8540
Mailing address
1309 HARBOR RD, HEWLETT, NY 11557-2640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
N005412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01808488
—
NY
Enumeration date
01/26/2006
Last updated
03/31/2008
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