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Elliot T Udell Dpm Pc
Primary Podiatric Medicine Podiatrist in Hicksville, New York
NPI 1316115561

Elliot T Udell Dpm Pc is a Primary Podiatric Medicine Podiatrist based in Hicksville, NY and is specialized in Primary Podiatric Medicine. Elliot T Udell Dpm Pc practices in Hicksville, NY. The NPI Number for Elliot T Udell Dpm Pc is 1316115561 and holds a License No. 002768 (New York).

The current practice location address for Elliot T Udell Dpm Pc is 120 Bethpage Rd, Hicksville, NY and can be reached out via phone at 516-935-1113.

Location: 120 Bethpage Rd, Hicksville, NY, 11801-1515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316115561
Provider Name
Elliot T Udell Dpm Pc
Credential
Provider Entity Type
Organization
Address
120 Bethpage Rd, Hicksville, NY, 11801-1515
Phone Number
516-935-1113
Fax Number
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WYTX31 01 NY MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
120 Bethpage Rd
City
Hicksville
State
New York
Zip
11801-1515
Phone Number
516-935-1113
Fax Number
person
Provider Business Mailing Address Details
Address
120 Bethpage Rd
City
Hicksville
State
New York
Zip
11801-1515
Phone Number
516-935-1113
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
002768 (New York)
Definition
Definition to come...
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