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Contact Information

DMITRI N LUKE, DPM
26 N KINDERKAMACK RD
MONTVALE, NJ07645-2109
 Phone: 201-573-0555
 Fax: 201-573-0556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DMITRI N LUKE · (Male)

NPI # 1699964452
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/17/2007
Last updated 02/27/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MD00295700
  • NY License # 006243
  • NY Medicaid 01672999
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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