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Individual

DR. HALINA M SEMLA-PULASKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
117 NASSAU AVE, BROOKLYN, NY 11222-3217
(718) 349-9595
(718) 349-6752
Mailing address
33 TENNIS COURT RD, OYSTER BAY, NY 11771-1815
(516) 624-2499
(516) 624-2499

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
N004597
NY
213ER0200X
Radiology Podiatrist
N004597
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N004597
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01159397
NY
01
0119490
GHI
NY
01
P2099530
OXFORD
NY
01
PK252
BLUE CROSS/BLUE SHIELD
NY
01
PO4597-2B
WORKERS COMPENSATION
NY
Enumeration date
11/01/2006
Last updated
01/13/2012
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