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1508178195
DIWARN SMALL
BRONX, NY
NPI
1508178195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NY 65006373)
Enumeration Date
2010-07-12
Last Update Date
2010-07-12
Business Address
-- DIWARN SMALL dpm
1430 DORIS ST APT 4 F
BRONX, NY 10462-4990
Phone number: 718-825-9900
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Mailing Address
-- DIWARN SMALL dpm
1430 DORIS ST APT 4 F
BRONX, NY 10462-4990
Phone number:
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