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Organization
LGD PODIATRIC SURGICAL, PC
Active
Organization
LGD PODIATRIC SURGICAL, PC
Active
Other names
Foot & Ankle Surgeons of New York
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED J DELUCIA D.P.M. (PRESIDENT)
(516) 492-3515
Entity
Organization
Contact information
Practice address
3003 NEW HYDE PARK RD, SUITE 312, NEW HYDE PARK, NY 11042-1214
(516) 492-3515
(516) 492-3516
Mailing address
3003 NEW HYDE PARK RD, SUITE 312, NEW HYDE PARK, NY 11042-1214
(516) 492-3515
(516) 492-3516
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006347
NY
Other
Enumeration date
08/31/2011
Last updated
08/03/2023
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