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Organization
ORANGETOWN PODIATRY PC
Active
Organization
ORANGETOWN PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL CONENELLO DPM (OWNER)
(845) 365-3100
Entity
Organization
Contact information
Practice address
100 DUTCH HILL RD, SUITE 270, ORANGEBURG, NY 10962-2197
(845) 365-3100
(845) 365-3253
Mailing address
100 DUTCH HILL RD, SUITE 270, ORANGEBURG, NY 10962-2197
(845) 365-3100
(845) 365-3253
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03203876
—
NY
Enumeration date
10/05/2009
Last updated
03/11/2011
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