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1174907992
INNJEA PARK
STATEN ISLAND, NY
NPI
1174907992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NY N006887)
Enumeration Date
2015-07-10
Last Update Date
2024-10-21
Business Address
Dr. INNJEA PARK DPM
970 BARD AVE
STATEN ISLAND, NY 10301-3322
Phone number: 917-796-1693
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Mailing Address
Dr. INNJEA PARK DPM
1042 HUGUENOT AVE
STATEN ISLAND, NY 10312-4315
Phone number: 917-796-1693
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