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Organization
NYC RUNNING DOC LLC
Active
Organization
NYC RUNNING DOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DR BRIAN WILLIAM FULLEM DPM (OWNER)
(646) 267-1075
Entity
Organization
Contact information
Practice address
25 CENTRAL PARK W APT 1R, NEW YORK, NY 10023-7214
(646) 267-1075
Mailing address
25 CENTRAL PARK W APT 1R, NEW YORK, NY 10023-7214
(646) 267-1075
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
—
NULL
Other
Enumeration date
10/07/2026
Last updated
10/07/2026
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