Organization
NASSAU SUFFOLK PODIATRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER F. DUBOV D.P.M. (OWNER/PRESIDENT)
(631) 858-0011
Entity
Organization
Contact information
Practice address
73 HAMLET DR, COMMACK, NY 11725-4439
(631) 858-0011
(631) 858-0011
Mailing address
1670 OLD COUNTRY RD, SUITE 120B, PLAINVIEW, NY 11803-5000
(631) 858-0011
(631) 858-0011
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
002042
NY
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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