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Organization

PODIATRIC SURGICAL SERVICES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IMTIYAZ I KAPADWALA (DPM)
(516) 205-1998
Entity
Organization

Contact information

Practice address
739 KNICKERBOCKER AVE, BROOKLYN, NY 11221-5336
(718) 481-8540
Mailing address
1309 HARBOR RD, HEWLETT, NY 11557-2640

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005412
NY

Other

Enumeration date
05/27/2009
Last updated
05/27/2009
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