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1023342581
CHARLES EDWARD DECIUTIIS
BRONX, NY
NPI
1023342581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: NY 002468)
Enumeration Date
2009-09-30
Last Update Date
2009-09-30
Business Address
Dr. CHARLES EDWARD DECIUTIIS D.P.M.
4039 BARNES AVE
BRONX, NY 10466-4309
Phone number: 718-519-8840
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Mailing Address
Dr. CHARLES EDWARD DECIUTIIS D.P.M.
4039 BARNES AVE
BRONX, NY 10466-4309
Phone number: 718-519-8840
Copy
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