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Organization
DAVID J. ELLENBOGEN PODIATRY, PC
Active
Organization
DAVID J. ELLENBOGEN PODIATRY, PC
Active
Other names
Long Island Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J ELLENBOGEN DPM (PRESIDENT)
(631) 543-8844
Entity
Organization
Contact information
Practice address
358 VETERANS MEMORIAL HWY, #11, COMMACK, NY 11725-4326
(631) 543-8844
(631) 543-8840
Mailing address
358 VETERANS MEMORIAL HWY, #11, COMMACK, NY 11725-4326
(631) 543-8844
(631) 543-8840
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N006125
NY
Other
Enumeration date
10/29/2013
Last updated
11/05/2013
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