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Organization
PODIATRIC SURGICAL SERVICES, P.C.
Active
Organization
PODIATRIC SURGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMTIYAZ I KAPADWALA (DPM)
(516) 205-1998
Entity
Organization
Contact information
Practice address
739 KNICKERBOCKER AVE, BROOKLYN, NY 11221-5336
(718) 481-8540
Mailing address
1309 HARBOR RD, HEWLETT, NY 11557-2640
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005412
NY
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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