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Individual
DR. DANY YOUSSEF JABBOUR
Active
Individual
DR. DANY YOUSSEF JABBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
006140
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
006140
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006140-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000932161004
BS NORTHEASTERN NY PIN/IDENTIFIER
—
05
—
02911622
—
NY
01
—
30061
TAX ID LAST 5 DIGITS
—
01
—
93-2014012
TAX ID
NY
01
—
CJ2100
RAILROAD MEDICARE GROUP PIN/IDENTIFIER
—
01
—
GRP408871001
BLUE SHIELD NORTHEASTERN NY GROUP PIN/IDENTIFIER
—
01
—
PM4111
BLUE CROSS PRUE SHIELD PIN/IDENTIFIER
—
Enumeration date
07/29/2006
Last updated
09/09/2024
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