| NPI | 1003008343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN M. VINOKUR Podiatrist 203-755-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: CT 00214) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2012-09-06 |