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Organization

ROY BOTFELD DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROY BOTFELD DPM (OWNER)
(917) 816-4144
Entity
Organization

Contact information

Practice address
3588 NOSTRAND AVE, BROOKLYN, NY 11229-5203
(610) 365-1762
Mailing address
3588 NOSTRAND AVE, BROOKLYN, NY 11229-5203

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004173
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00973102
NY
Enumeration date
12/02/2010
Last updated
12/02/2010
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