Individual provider · Type 1 NPI
Diwarn Small, DPM
Foot & Ankle Surgery Podiatrist · Bronx, NY
NPI number
1508178195
Active
Practice location
1430 Doris St, Apt 4 F
Bronx, NY 10462-4990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 65006373 (NY) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1508178195
Diwarn Small, DPM's National Provider Identifier is 1508178195, issued on Jul 12, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bronx, NY. The record was last updated on Jul 12, 2010.