| NPI | 1003004425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASTHY T JEAN-LOUIS President 347-770-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NY 006152) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2022-02-20 |