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Individual

DR. ZARA HERCULES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
176 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-6080
Mailing address
174 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-8077

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
006444
PA
213ES0131X
Foot Surgery Podiatrist
Primary
006776
NY
213ES0131X
Foot Surgery Podiatrist
599
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03794121
NY
Enumeration date
05/10/2013
Last updated
05/14/2019
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