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Organization

DEER PARK PODIATRY

Active
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Organization

DEER PARK PODIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE AHMADI DPM (OWNER)
(631) 586-3388
Entity
Organization

Contact information

Practice address
1428 DEER PARK AVE, NORTH BABYLON, NY 11703-1623
(631) 586-3388
(631) 586-3388
Mailing address
1428 DEER PARK AVE, NORTH BABYLON, NY 11703-1623
(631) 586-3388
(631) 586-3388

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary

Other

Enumeration date
11/19/2019
Last updated
11/19/2019
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