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115 Broadway, Dobbs Ferry, NY 10522-2835 | |
(914) 693-6800 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 115 Broadway, Dobbs Ferry, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326251026 | NPI | - | NPPES |
01761540 | Medicaid | NY | |
DN4475 | Other | NY | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | 1956 (Massachusetts) | Primary |
Provider Name | Shilpa P Kothary |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1689683377 PECOS PAC ID: 0547299968 Enrollment ID: I20050805000720 |
Mailing Address | Practice Location Address |
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100 Crossing Blvd, Suite 300, Framingham, MA 01702-5555 Ph: (617) 964-6681 | 115 Broadway, Dobbs Ferry, NY 10522-2835 Ph: (914) 693-6800 |