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Contact Information

EDMOND AINEHSAZAN, DPM
11129 QUEENS BLVD
FOREST HILLS, NY11375-5553
 Phone: 718-275-8900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EDMOND AINEHSAZAN · (Male)

NPI Number 1477073864
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/27/2017
Last updated 12/31/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MD00357900
  • NY License # N007057
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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