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Organization
LINDA PODIATRY PC
Active
Organization
LINDA PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EKA DAVITACHVILI DPM (INCORPORATOR/DIRECTOR/DPM)
(917) 399-0361
Entity
Organization
Contact information
Practice address
700 W 192ND ST, APT# 606, NEW YORK, NY 10040-2402
(917) 399-0361
Mailing address
700 W 192 STREET, APT# 606, NEW YORK, NY 10040
(917) 399-0361
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N006252
NY
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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