C00125;TA103597;80023M085;1;;Elaine Dipaola;Foot Specialist of Long Island;119 New York Ave;Massapequa;NY;11758;01/27/25
C00125;TA103597;TDIWM085;3;;Elaine Dipaola;Foot Specialist of Long Island;119 New York Ave;Massapequa;NY;11758;01/27/25
