C00125;TA105059;80015M110;1;;Sandra Magnus;Foot Specialist of Long Island;119 New York Ave;Massapequa;NY;11758;02/25/25
C00125;TA105059;TDIWM110;3;;Sandra Magnus;Foot Specialist of Long Island;119 New York Ave;Massapequa;NY;11758;02/25/25
