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Individual

DR. BOB S BILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
756 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 432-7470
(516) 432-3479
Mailing address
756 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 432-7470
(516) 432-3479

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002835
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N002835
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
397700
NY
Enumeration date
06/30/2005
Last updated
12/09/2009
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