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Organization

COMPREHENSIVE FOOT AND ANKLE CARE

Active
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Organization

COMPREHENSIVE FOOT AND ANKLE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAY G. LEVINE DPM (OWNER)
(845) 623-5933
Entity
Organization

Contact information

Practice address
55 OLD NYACK TPKE, SUITE 407, NANUET, NY 10954-2461
(845) 623-5933
(845) 623-4261
Mailing address
55 OLD NYACK TPKE, SUITE 407, NANUET, NY 10954-2461
(845) 623-5933
(845) 623-4261

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N004113-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4483320001
DMERC
Enumeration date
04/08/2008
Last updated
04/18/2008
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