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Organization
89TH STREET PODIATRY PC
Active
Organization
89TH STREET PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN SPELLMAN D.P.M. (MEDICAL DIRECTOR)
(212) 410-9666
Entity
Organization
Contact information
Practice address
1588 3RD AVE, NEW YORK, NY 10128-3401
(212) 410-9666
(212) 348-1736
Mailing address
1588 3RD AVE, NEW YORK, NY 10128-3401
(212) 410-9666
(212) 348-1736
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AAAASF CERT # 3876
NY
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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