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Mpepera Simango-yiadom
Podiatrist in Stony Brook, New York
NPI 1902460942

Mpepera Simango-yiadom is a Podiatrist based in Baltimore, NY. Mpepera Simango-yiadom practices in Stony Brook, NY. The NPI Number for Mpepera Simango-yiadom is 1902460942 and holds a License No. (New York).

The current practice location address for Mpepera Simango-yiadom is 101 Nicolls Rd Dept Of, Stony Brook, NY and can be reached out via phone at 631-444-2037.

Location: 101 Nicolls Rd Dept Of, Stony Brook, NY, 21239-2001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902460942
Provider Name
Mpepera Simango-yiadom
Credential
Provider Entity Type
Individual
Gender
Female
Address
101 Nicolls Rd Dept Of, Stony Brook, NY, 21239-2001
Phone Number
631-444-2037
Fax Number
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Rd Dept Of
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2037
Fax Number
person
Provider Business Mailing Address Details
Address
101 Nicolls Rd Dept Of
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-2037
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
01730 (Maryland)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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