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Organization

SPANISH AMERICAN FOOT ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES J ANARELLA DPM (OWNER)
(718) 779-3900
Entity
Organization

Contact information

Practice address
3741 91ST ST, JACKSON HEIGHTS, NY 11372-7927
(718) 779-3900
(718) 779-1514
Mailing address
3741 91ST ST, JACKSON HEIGHTS, NY 11372-7927
(718) 779-3900
(718) 779-1514

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004050
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01012413
NY
01
10200066
AMERIGROUP
NY
01
4838990001
DME
NY
01
P06331
BLUE SHIELD
NY
Enumeration date
09/18/2007
Last updated
03/14/2013
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