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Organization
LONG ISLAND PODIATRY GROUP, P.C.
Active
Organization
LONG ISLAND PODIATRY GROUP, P.C.
Active
Other names
Central Podiatry Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL CAPRIOLI DPM (OWNER)
(516) 568-2319
Entity
Organization
Contact information
Practice address
375 N CENTRAL AVE, VALLEY STREAM, NY 11580-1134
(516) 825-4070
(516) 825-1508
Mailing address
375 N CENTRAL AVE, VALLEY STREAM, NY 11580-1134
(516) 825-4070
(516) 568-2318
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003712
NY
Other
Enumeration date
09/16/2006
Last updated
01/22/2014
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